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STAR THERAPEUTIC MASSAGE LLC
NPI 1235958216
Massage Therapist in Star, ID

Active since October 07, 2024
175 S LANGER LAKE WAY, STAR, ID 83669(208) 573-0448 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Massage Therapist

About STAR THERAPEUTIC MASSAGE LLC

This page provides the complete NPI Profile along with additional information for Star Therapeutic Massage Llc, a provider established in Star, Idaho operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1235958216 assigned on October 2024. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Star Therapeutic Massage Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kari-lyn Ruby (Owner)

NPI
1235958216 Verify this NPI
Provider Name
STAR THERAPEUTIC MASSAGE LLC
Entity Type
Organization
Location Address
175 S LANGER LAKE WAY STAR, ID 83669
Location Phone
(208) 573-0448
Mailing Address
175 S LANGER LAKE WAY STAR, ID 83669
Mailing Phone
(208) 573-0448
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2024
Last Update Date
10-07-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KARI-LYN RUBY

Authorized Official Title
OWNER
Authorized Official Phone
(208) 573-0448

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Frequently Asked Questions

What is STAR THERAPEUTIC MASSAGE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1235958216, enumerated as an "organization" on October 07, 2024.

Where is the provider located?

The provider is located at 175 S LANGER LAKE WAY STAR, ID 83669 and the phone number is (208) 573-0448.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.