MEDICARE: EMILY HONEA LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT11880	SD

General Provider Information

NPI Number	:	1639900244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY HONEA LMT

Provider Business Mailing Address
First Line	:	4144 HAINES AVE APT 102
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-9648
Country	:	US
Telephone Number	:	509-481-5966
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 SOUTH ST STE 203
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-3583
Country	:	US
Telephone Number	:	509-481-5966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	08/13/2024

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