Tara Lyanne Wood, LMT is a
Massage Therapist based in Saint Anthony, Idaho. Tara Lyanne Wood is licensed to practice in Idaho (license number MAS-3561) and her current practice location is
228 W 1st N, Saint Anthony, Idaho. She can be reached at her office (for appointments etc.) via phone at
(385) 208-6624.
NPI number for Tara Lyanne Wood is 1710614961 and her current mailing address is 228 W 1st N, Saint Anthony, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710614961.
Healthcare Provider's Profile
| Full Name | Tara Lyanne Wood |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 228 W 1st N, Saint Anthony, 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: 1710614961
- Provider Enumeration Date: 08/05/2022
- Last Update Date: 08/05/2022
Medical Identifiers
Medical identifiers for Tara Lyanne Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710614961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MAS-3561 (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. Tara Lyanne Wood 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 |
|---|
Tara Lyanne Wood, LMT
228 W 1st N,
Saint Anthony, ID 83445-1406
Ph: (385) 208-6624 | Tara Lyanne Wood, LMT
228 W 1st N,
Saint Anthony, ID 83445-1406
Ph: (385) 208-6624 |
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