TANNA SUSAN WILLIS LCMT
NPI 1033551015
Massage Therapist in Boise, ID

Active since July 19, 2013
1529 BELMONT ST, BOISE, ID 83725(208) 426-1459 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanna Susan Willis Lcmt NPPES

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

TANNA SUSAN WILLIS LCMT (NPI 1033551015) is an individual massage therapist in Boise, Idaho, licensed in Idaho (MAS-732) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1033551015
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTANNA SUSAN WILLISCredential: LCMT
Location Address1529 BELMONT STBoise, ID 83725-0001
Mailing Address1910 University DrBoise, ID 83725-1351
Sole ProprietorYes
Enumeration DateJuly 19, 2013
NPI 1033551015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in ID · MAS-732
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.
Also ListedClinic/Center · Student HealthTaxonomy 261QS1000X · License 820290701 (ID)
1529 BELMONT ST, Boise, ID 83725

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
1529 BELMONT ST
BOISE, ID 83725
Nurse Practitioner (Family)
1529 BELMONT ST
BOISE, ID 83725
Clinic/Center (Student Health)
1529 BELMONT ST
BOISE, ID 83725
Counselor (Mental Health)
1529 BELMONT ST
BOISE, ID 83725
Counselor (Professional)
1529 BELMONT ST
BOISE, ID 83725
Specialist
1529 BELMONT ST
BOISE, ID 83725

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 Tanna Willis's NPI number?

The NPI number for Tanna Willis is 1033551015. It was assigned to this individual provider in the NPPES registry on July 19, 2013.

Where is Tanna Willis located?

Tanna Willis practices at 1529 Belmont St, Boise, ID 83725. The listed phone number is (208) 426-1459.

What is Tanna Willis'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 Tanna Willis was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.