Elizabeth A Cope, LMT
Individual provider Active NPI Massage Therapist · Ponderay, ID
NPI 1245088095 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1245088095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAS3793 (ID)
- Practice address
- 30410 Highway 200 Ste 100
Ponderay, ID 83852-9601 - Phone
- (208) 263-3211
- NPI assigned
- May 7, 2024
- 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 |
|---|---|---|---|
| MAS3793 | ID | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS3793 | ID | Yes |
Addresses
Primary practice location
30410 Highway 200 Ste 100
Ponderay, ID 83852-9601
Mailing address
42459 Highway 200 # 13
Hope, ID 83836-9784
Phone (352) 601-7343
Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 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.