MEDICARE: SYDNEY BLISSICK

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1992649040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY BLISSICK

Provider Business Mailing Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	206-309-4080
Fax Number	:

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

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “ SYDNEY BLISSICK ” Practice Location

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