1. Home
  2. Directory
  3. Idaho
  4. Clark Fork
  5. Massage Therapist
  6. NPI Profile

KAYA KALEOLANI RUDDLE MAS
NPI 1194482638
Massage Therapist in Clark Fork, ID

Active since November 18, 2021
770 CABINET GORGE RD, CLARK FORK, ID 83811(208) 304-2535 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaya Kaleolani Ruddle Mas NPPES

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

KAYA KALEOLANI RUDDLE MAS (NPI 1194482638) is an individual massage therapist in Clark Fork, Idaho, licensed in Idaho (MAS-3798) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1194482638
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKAYA KALEOLANI RUDDLECredential: MAS
Location Address770 CABINET GORGE RDClark Fork, ID 83811-7002
Mailing Address770 Cabinet Gorge RdClark Fork, ID 83811-7002 · (208) 304-2535
Phone(208) 304-2535
Sole ProprietorNo
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1194482638 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-3798
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.
770 CABINET GORGE RD, Clark Fork, ID 83811
Open in Google Maps ↗

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 Kaya Ruddle's NPI number?

The NPI number for Kaya Ruddle is 1194482638. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Kaya Ruddle located?

Kaya Ruddle practices at 770 Cabinet Gorge Rd, Clark Fork, ID 83811. The listed phone number is (208) 304-2535.

What is Kaya Ruddle'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 Kaya Ruddle was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.