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TARA SISTRUNK LMT
NPI 1205501079
Massage Therapist in Post Falls, ID

Active since August 12, 2021
3900 E 16TH AVE, POST FALLS, ID 83854(208) 996-1177(208) 694-1423 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Sistrunk Lmt NPPES

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

TARA SISTRUNK LMT (NPI 1205501079) is an individual massage therapist in Post Falls, Idaho, licensed in Idaho (MAS-4445) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1205501079
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTARA SISTRUNKCredential: LMT
Location Address3900 E 16TH AVEPost Falls, ID 83854-8925
Mailing Address3900 E 16th AvePost Falls, ID 83854-8925 · (208) 996-1177 · Fax (208) 694-1423
Phone(208) 996-1177
Fax(208) 694-1423
Sole ProprietorYes
Enumeration DateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1205501079 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-4445
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.
3900 E 16TH AVE, Post Falls, ID 83854
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Other Providers at the Same Location NPPES 3

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

LINDSEY VOGEL LMT
Massage Therapist
3900 E 16TH AVE
POST FALLS, ID 83854
Kootenai County (701) 220-9709
AMY E GREENE LMT
Specialist
3900 E 16TH AVE, SUITE B
POST FALLS, ID 83854
Kootenai County (208) 660-3138
JESSICA TOMAS LMT
Massage Therapist
3900 E 16TH AVE
POST FALLS, ID 83854
Kootenai County (208) 996-1177

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 Tara Sistrunk's NPI number?

The NPI number for Tara Sistrunk is 1205501079. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Tara Sistrunk located?

Tara Sistrunk practices at 3900 E 16th Ave, Post Falls, ID 83854. The listed phone number is (208) 996-1177.

What is Tara Sistrunk'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 Tara Sistrunk was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.