Matthew Demers, LMT

NPI #1356987390 in Eagle, Idaho

Provider Information

NPI Number: 1356987390
Entity Type: Individual
Name: Matthew Demers, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 1045 S ANCONA AVE STE 140
City: Eagle
State: Idaho
ZIP Code: 83616-6374
Phone: (208) 352-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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