Individual
MS. RITA ELLEN PANKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
601 E SELTICE WAY STE 201, POST FALLS, ID 83854-7638
(208) 714-6740
Mailing address
3131 S DUNLAP RD, HARRISON, ID 83833-8830
(208) 714-6740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021546
WA
225700000X
Massage Therapist
Primary
MAS-4594
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00021546
STATE LICENSE
WA
01
—
MAS-4594
MASSAGE THERAPY
ID
Enumeration date
04/13/2006
Last updated
04/26/2026
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