Tyler James Pincock, BS, LMT

NPI #1992294565 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992294565
Entity Type: Individual
Name: Tyler James Pincock, BS, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: BS, LMT
Enumeration Date: May 9, 2018
Last Updated: May 9, 2018

Practice Location

Address: 1110 S BOULEVARD
City: Idaho Falls
State: Idaho
ZIP Code: 83402-4033
Phone: (208) 270-3358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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