MINDY DAWN CERVANTES LMT
NPI 1013692276
Massage Therapist in Chubbuck, ID

Active since June 15, 2023
4846 HIRAM AVE, CHUBBUCK, ID 83202(435) 580-9461 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mindy Dawn Cervantes Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDY DAWN CERVANTES LMT (NPI 1013692276) is an individual massage therapist in Chubbuck, Idaho, licensed in Idaho (MAS-3001) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1013692276
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMINDY DAWN CERVANTESCredential: LMT
Location Address4846 HIRAM AVEChubbuck, ID 83202-3018
Mailing Address4846 Hiram AveChubbuck, ID 83202-3018 · (435) 580-9461
Sole ProprietorYes
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1013692276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in ID · MAS-3001
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
4846 HIRAM AVE, Chubbuck, ID 83202

Other Names 1

Former Name (1)Mrs. Mindy Dawn Cervantes Mindy Staub, Lmt

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindy Cervantes's NPI number?

The NPI number for Mindy Cervantes is 1013692276. It was assigned to this individual provider in the NPPES registry on June 15, 2023. The provider is also known as Mrs. Mindy Dawn Cervantes Mindy Staub, Lmt.

Where is Mindy Cervantes located?

Mindy Cervantes practices at 4846 Hiram Ave, Chubbuck, ID 83202. The listed phone number is (435) 580-9461.

What is Mindy Cervantes's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mindy Cervantes was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.