Katia Hope Ryan, LMT is a
Massage Therapist based in Mackay, Idaho. Katia Hope Ryan is licensed to practice in Idaho (license number MAS-1700) and her current practice location is
815 W Custer Rd, Mackay, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 589-4114.
NPI number for Katia Hope Ryan is 1104338391 and her current mailing address is Po Box 306, Mackay, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104338391.
Healthcare Provider's Profile
| Full Name | Katia Hope Ryan |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 815 W Custer Rd, Mackay, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104338391
- Provider Enumeration Date: 10/28/2017
- Last Update Date: 10/28/2017
Medical Identifiers
Medical identifiers for Katia Hope Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104338391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT-07056 (Arizona) | Secondary |
| 225700000X | Massage Therapist | MAS-1700 (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. Katia Hope Ryan 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 |
|---|
Katia Hope Ryan, LMT
Po Box 306,
Mackay, ID 83251-0306
Ph: (208) 589-4114 | Katia Hope Ryan, LMT
815 W Custer Rd,
Mackay, ID 83251-5003
Ph: (208) 589-4114 |
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