Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nathan Mandigo, ABT, CMT

Individual provider Massage Therapist · NPI 1053682484

Mr. Nathan Mandigo, ABT, CMT is a Massage Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2012

Practice location Address checks out

725 N 15th St
Boise, ID 83702-4020
Phone: (208) 955-8272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MX100087 (ID)

Record details

NPI number1053682484
Entity typeIndividual (Type 1)
GenderMale
Credentials ABT , CMT
Sole proprietorYes
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 17, 2012

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