Carla Sue Bennett, L.M.T
Individual provider Active NPI Massage Therapist · Post Falls, ID
NPI 1578029005 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1578029005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MAS-1743 (ID)
- Practice address
- 2525 E Seltice Way
Suite C
Post Falls, ID 83854 - Phone
- (208) 777-7463
- Fax
- (208) 777-9659
- NPI assigned
- Feb 20, 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-1743 | ID | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-1743 | ID | Yes |
Addresses
Primary practice location
2525 E Seltice Way
Suite C
Post Falls, ID 83854
Mailing address
2525 E Seltice Way
Suite C
Post Falls, ID 83854
Phone (208) 777-7463
Other providers in Post Falls, ID
- Elsbeth Beckvold
- Believe and Achieve LLC
- Pamela Sue Bellatty Thompson
- Belmont House Enterprises LLC
- Mark B Bengtson
- Chante Benson
- Eric Paul Benson
- Ashley Ann Bertagnole
- Lyndi Marie Bertman
- Raymond J Bertoni
All providers in Post Falls, ID · Massage Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. 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.