Individual
DANIEL MICHAEL MARROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
PO BOX 401, SPIRIT LAKE, ID 83869-0401
(208) 640-9300
Mailing address
160 MOONSTAR LN, SPIRIT LAKE, ID 83869
(208) 640-9300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASS.MA.70131716
WA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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