MR. Benjamin Dean Lewis, L.M.T., M.M.P.

NPI #1992964894 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992964894
Entity Type: Individual
Name: MR. Benjamin Dean Lewis, L.M.T., M.M.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.T., M.M.P.
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 2539 CHANNING WAY
Address 2: SUITE 102
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7544
Phone: (208) 403-2262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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