MISS KASIE DAWN GORDON MP - NPI 1659731511 - Massage Therapist in Coeur D Alene, ID

Q: What is Kasie Gordon's NPI number?

The NPI number for Kasie Gordon is 1659731511. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Q: What is Kasie Gordon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kasie Gordon was last updated on March 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Miss Kasie Dawn Gordon Mp NPPES

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

MISS KASIE DAWN GORDON MP (NPI 1659731511) is an individual massage therapist in Coeur D Alene, Idaho, licensed in Idaho (MAS-2544) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1659731511

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMISS KASIE DAWN GORDONCredential: MP

Location Address2180 W IRONWOOD CENTER DRCoeur D Alene, ID 83814-2639

Mailing Address2180 W Ironwood Center DrCoeur D Alene, ID 83814-2639 · (208) 819-3190

Phone(208) 819-3190

Sole ProprietorYes

Enumeration DateMarch 3, 2016

✔ NPI 1659731511 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 · MAS-2544

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.

2180 W IRONWOOD CENTER DR, Coeur D Alene, ID 83814

Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN WILLIAM GARTON DPT

Physical Therapist