Mandigo, Nathan

Mandigo, Nathan is an sole proprietor health care provider with primary practice located at 725 N 15Th St , Boise ID 83702-4020. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mandigo, Nathan can be contacted via phone (208) 955-8272.

Contact Information

Primary practice address
725 N 15Th St Boise ID 83702-4020
Phone: (208) 955-8272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MX100087 Idaho

Profile Details

NPI number 1053682484
LBN Legal business name Mandigo, Nathan
Credentials ABT, CMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2012
Last updated Jan 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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