Destiny Noelle Lake, MASSAGETHERAPIST
Destiny Noelle Lake, MASSAGETHERAPIST is a Massage Therapist in Post Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2021
Practice location Address checks out
1624 E Seltice WayPost Falls, ID 83854-7022
Phone: (702) 556-6113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MAS-3720 (ID) |
|---|
Record details
| NPI number | 1811582133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MASSAGETHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2021 |
| Last updated in NPPES | March 8, 2021 |
| Certification date | March 8, 2021 |
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