Elizabeth Davenport, LMT is a
Massage Therapist based in Malta, Idaho. Elizabeth Davenport is licensed to practice in Idaho (license number MA3224) and her current practice location is
1503 E Highway 77, Malta, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 406-6420.
NPI number for Elizabeth Davenport is 1750963328 and her current mailing address is 1503 E Highway 77, Malta, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750963328.
Healthcare Provider's Profile
Full Name | Elizabeth Davenport |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1503 E Highway 77, Malta, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750963328
- Provider Enumeration Date: 04/23/2021
- Last Update Date: 04/23/2021
Medical Identifiers
Medical identifiers for Elizabeth Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750963328 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA3224 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Davenport, LMT 1503 E Highway 77, Malta, ID 83342-8627 Ph: (120) 840-6642 | Elizabeth Davenport, LMT 1503 E Highway 77, Malta, ID 83342-8627 Ph: (208) 406-6420 |
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