Momentum Medical Massage and Personal Training, LLC

NPI #1295388536 in Sandpoint, Idaho

Provider Information

NPI Number: 1295388536
Entity Type: Organization
Organization Name: Momentum Medical Massage and Personal Training, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 16, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 1013 W LAKE ST
City: Sandpoint
State: Idaho
ZIP Code: 83864
Phone: (360) 909-3331

Authorized Official

Name: KELLY JO EMERSON
Title: OWNER/PRACTITIONER
Phone: (360) 909-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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