Mr. ROGER JAMES BURT LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1568829745- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 1555 N MOONSTONE ST, POST FALLS, ID, 838546176
- Phone
- (208) 964-1585
Specialties & Taxonomies
Massage Therapist
License: WA #MA60623287
Massage Therapist
Primary License: ID #mas4807