Healthcare Provider Details

I. General information

NPI: 1972741494
Provider Name (Legal Business Name): ALANA BEAL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALANA HARRIS

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 FALLS AVE STE A
TWIN FALLS ID
83301-3370
US

IV. Provider business mailing address

260 FALLS AVE STE A
TWIN FALLS ID
83301-3370
US

V. Phone/Fax

Practice location:
  • Phone: 208-948-2260
  • Fax:
Mailing address:
  • Phone: 208-416-1520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASG-1980
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: