Tanna Susan Willis, LCMT
Tanna Susan Willis, LCMT is a Massage Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
1529 Belmont StBoise, ID 83725-0001
Phone: (208) 426-1459
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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-732 (ID) |
|---|---|
| Student Health Clinic/Center | Taxonomy 261QS1000X · Licence 820290701 (ID) |
Record details
| NPI number | 1033551015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCMT |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2013 |
| Last updated in NPPES | July 19, 2013 |
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