LORETTA TYE, NCTMB

Massage Therapist

Active Individual
NPI: 1518109594

Practice Address

1114 MAIN ST
Lewiston, ID 83501

Phone: (208) 743-1974

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 150222-00 (WA)

Frequently Asked Questions

NPI 1518109594 is the National Provider Identifier for LORETTA TYE, NCTMB, a Massage Therapist provider located in Lewiston, ID. This NPI was enumerated on April 6, 2009.
LORETTA TYE, NCTMB practices at 1114 MAIN ST, Lewiston, ID 83501.

Quick Facts

NPI
1518109594
Type
Individual
Enumerated
Apr 6, 2009
Last Updated
Apr 6, 2009

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