JESSICA KOWALLIS
NPI 1295137883
Massage Therapist in Boise, ID
- Individual
- Female
- Massage Therapist
About JESSICA KOWALLIS
This page provides the complete NPI Profile along with additional information for Jessica Kowallis, a provider established in Boise, Idaho with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1295137883 assigned on September 2014. The practitioner's primary taxonomy code is 225700000X with license number MASG-2110 (ID). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1295137883 Verify this NPI
- Provider Name
- JESSICA KOWALLIS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1740 N MILWAUKEE ST STE B BOISE, ID 83704
- Location Phone
- (208) 377-9500
- Location Fax
- (208) 377-8449
- Mailing Address
- 1740 N MILWAUKEE ST STE B BOISE, ID 83704
- Mailing Phone
- (208) 377-9500
- Mailing Fax
- (208) 377-8449
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-25-2014
- Last Update Date
- 09-25-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MASG-2110
- License State
- ID
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295137883, enumerated as an "individual" on September 25, 2014.
The provider is located at 1740 N MILWAUKEE ST STE B BOISE, ID 83704 and the phone number is (208) 377-9500.
Massage Therapist with taxonomy code 225700000X.
