Quincy Rae Boyce, LMT
Individual provider Active NPI Massage Therapist · Sandpoint, ID
NPI 1104485341 · NPPES record last updated Apr 8, 2024
Key facts
- NPI
- 1104485341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAS-3526 (ID)
- Practice address
- 406 South Ella Street
Sandpoint, ID 83864 - Phone
- (208) 627-8718
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAS-3526 | ID | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-3526 | ID | Yes |
Addresses
Primary practice location
406 South Ella Street
Sandpoint, ID 83864
Mailing address
406 South Ella Street
Sandpoint, ID 83864
Phone (208) 627-8718
Other names
- Quincy Rae Boyce
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.