Individual
NIKITA MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
420 W MAIN ST STE 206, BOISE, ID 83702-7363
(208) 426-9200
(208) 426-9300
Mailing address
1101 1/2 W WRIGHT ST, BOISE, ID 83705-5242
(208) 426-9200
(208) 426-9300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4339
ID
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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