National Provider Identifier Database

TANNA S WILLIS, LCMT – NPI #1033551015
Massage Therapist

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.


Contact Information

TANNA S WILLIS, LCMT
1529 BELMONT ST
BOISE, ID83725-0001
Phone: 208-426-1459
Fax:
Website:
Specialty Taxonomy Code
* Massage Therapist 225700000X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for TANNA S WILLIS

NPI Number 1033551015
Credentials LCMT
Entity Individual
Enumeration date 07/19/2013
Last updated 07/19/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: 820290701
  • ID License #: MAS-732
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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