# SANDPOINT MEDICAL MASSAGE AND BODYWORKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467990788
- **Authorized official:** KIRSTEN LONGMEIER LMT (LICENSED MASSAGE THERAPIST)
- **Authorized official phone:** (503) 369-8652

## Contact information

- **Practice address:** 515 PINE ST, SUITE G, SANDPOINT, ID 83864-1640
- **Practice address phone:** (208) 502-0728
- **Practice address fax:** (208) 575-8309
- **Mailing address:** 515 PINE ST, SUITE G, SANDPOINT, ID 83864-1640
- **Mailing address phone:** (208) 502-0728
- **Mailing address fax:** (208) 575-8309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MAS-2400 | ID | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017
