DAWN DENISE WILBURN LMT
NPI 1235904442
Massage Therapist in Sandpoint, ID
Active since November 17, 2023
About Dawn Denise Wilburn Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAWN DENISE WILBURN LMT (NPI 1235904442) is an individual massage therapist in Sandpoint, Idaho, licensed in Idaho (MASG-915) and active in the NPI registry since November 2023.
NPPES Registry Identity
NPI1235904442
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDAWN DENISE WILBURNCredential: LMT
Location Address480770 HIGHWAY 95Sandpoint, ID 83864-7438
Mailing Address480770 Highway 95Sandpoint, ID 83864-7438 · (208) 627-9708
Phone(208) 627-9708
Sole ProprietorYes
Enumeration DateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1235904442 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in ID · MASG-915
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedRegistered NurseTaxonomy 163W00000X · License 40307 (ID)
480770 HIGHWAY 95, Sandpoint, ID 83864
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235904442, enumerated as an "individual" on November 17, 2023.
The provider is located at 480770 HIGHWAY 95 SANDPOINT, ID 83864 and the phone number is (208) 627-9708.
Massage Therapist with taxonomy code 225700000X.
