Danika Kristan Lewis, LMT

NPI #1174028328 in Eagle, Idaho

Provider Information

NPI Number: 1174028328
Entity Type: Individual
Name: Danika Kristan Lewis, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 29, 2018
Last Updated: Mar 29, 2018

Practice Location

Address: 2305 N EAGLE CREEK LN
City: Eagle
State: Idaho
ZIP Code: 83616-6819
Phone: (208) 761-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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