LILA M WITTER (NPI# 1083274674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083274674 |
| Entity Type | Individual |
| Full Name | LILA M WITTER |
| Credential | LMT |
| Practice Address |
872 Troy Rd Ste 170 Moscow ID 83843-4046 |
| Mailing Address |
1256 Se Bishop Blvd Ste J Pullman WA 99163-5414 |
| Practice Telephone | 2088926506 |
| Practice Fax Number | 5093346768 |
| Mailing Telephone | 5093326506 |
| Mailing Fax Number | 5093346768 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS3163 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
872 TROY RD STE 170 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417267352 | Claire Jennifer Simon | Physical Therapist | 872 Troy Rd Ste 170, Moscow, ID 83843-4046 | 2010-10-13 |
| 1154878015 | Healing Hands Massage Clinic, LLC | Massage Therapist | 872 Troy Rd Ste 170, Moscow, ID 83843-4046 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899562 | Alyssa Foster Hansen | Massage Therapist | 116 E 3rd St # 209, Moscow, ID 83843-4318 | 2020-01-06 |
| 1558848341 | Marion Elizabeth Teal-atwood | Massage Therapist | 127 S Washington St Ste 6, Moscow, ID 83843-2866 | 2018-07-24 |
| 1679078273 | Paula Jo Nygaard | Massage Therapist | 111 N Washington St Ste 7, Moscow, ID 83843-2884 | 2018-03-26 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1184086845 | Brookeanne Gregory | Massage Therapist | 1008 E 7th St, Moscow, ID 83843-3711 | 2016-03-22 |
| 1083245377 | Jill Lynn Lawrence | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2020-01-27 |
| 1639630601 | Bethany Anne Howell | Massage Therapist | 127 S Washington St Ste 6, Moscow, ID 83843-2866 | 2019-03-30 |
| 1003372384 | Michele Murphy | Massage Therapist | 804 S Washington St, Moscow, ID 83843-3182 | 2019-02-12 |
| 1154878015 | Healing Hands Massage Clinic, LLC | Massage Therapist | 872 Troy Rd Ste 170, Moscow, ID 83843-4046 | 2016-09-07 |
| 1841681699 | Belinda Rhodes | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2015-02-16 |
| Find all providers in MOSCOW | ||||
Please comment or provide details below to improve the information on LILA M WITTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.