Sally V Brennan Ash, LMT
Individual provider Active NPI Massage Therapist · Sandpoint, ID
NPI 1801587332 · NPPES record last updated May 16, 2023
Key facts
- NPI
- 1801587332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 1013 Lake St Ste 102
Sandpoint, ID 83864-5002 - Phone
- (208) 791-0111
- NPI assigned
- May 16, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | ID | Yes |
Addresses
Primary practice location
1013 Lake St Ste 102
Sandpoint, ID 83864-5002
Mailing address
1013 Lake St Ste 102
Sandpoint, ID 83864-5002
Phone (208) 791-0111
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 May 16, 2023. 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.