MIA B WANG LMT - NPI 1629885553 - Massage Therapist in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mia B Wang Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA B WANG LMT (NPI 1629885553) is an individual massage therapist in Boise, Idaho, licensed in Idaho (1561075) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1629885553

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMIA B WANGCredential: LMT

Location Address3601 N COLE RDBoise, ID 83704-4410

Mailing Address3601 N Cole RdBoise, ID 83704-4410 · (208) 321-7348 · Fax (208) 323-7989

Phone(208) 321-7348

Fax(208) 323-7989

Sole ProprietorNo

Enumeration DateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1629885553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in ID · 1561075

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.

3601 N COLE RD, Boise, ID 83704

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