MR. Adam Douglas Deluca, LMT

NPI #1356099733 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1356099733
Entity Type: Individual
Name: MR. Adam Douglas Deluca, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 14, 2022
Last Updated: Mar 14, 2022

Practice Location

Address: 1104 N 4TH ST UNIT B
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-3217
Phone: (208) 292-4873

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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