Jacquelyn Komperud, LMT - Massage Therapist in Boise, ID

Jacquelyn Komperud, LMT is a Massage Therapist based in Boise, Idaho. Jacquelyn Komperud is licensed to practice in Idaho (license number MAS-2518) and her current practice location is 3858 N Garden Center Way Ste 101, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 336-0017.

NPI number for Jacquelyn Komperud is 1417494022 and her current mailing address is 3858 N Garden Center Way Ste 101, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417494022.

Contact Information

Jacquelyn Komperud, LMT
3858 N Garden Center Way Ste 101,
Boise, ID 83703-5008
(208) 336-0017
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacquelyn Komperud
GenderFemale
SpecialityMassage Therapist
Location3858 N Garden Center Way Ste 101, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417494022
  • Provider Enumeration Date: 01/21/2017
  • Last Update Date: 01/21/2017

Medical Identifiers

Medical identifiers for Jacquelyn Komperud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417494022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MAS-2518 (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. Jacquelyn Komperud 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 AddressPractice Location Address
Jacquelyn Komperud, LMT
3858 N Garden Center Way Ste 101,
Boise, ID 83703-5008

Ph: (208) 336-0017
Jacquelyn Komperud, LMT
3858 N Garden Center Way Ste 101,
Boise, ID 83703-5008

Ph: (208) 336-0017

Reviews and Comments


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