SHOSHONE BANNOCK HOTEL & EVENT CENTER
NPI 1336872993
Massage Therapist in Fort Hall, ID

Active since July 01, 2022
777 BANNOCK TRAIL, FORT HALL, ID 83203(208) 238-4850 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shoshone Bannock Hotel & Event Center NPPES

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

SHOSHONE BANNOCK HOTEL & EVENT CENTER (NPI 1336872993), doing business as Cedar Spa, is a healthcare organization registered as a massage therapist in Fort Hall, Idaho and active in the NPI registry since July 2022. The organization lists Taylia Edmo, Spa Manager, as its authorized official.

NPPES Registry Identity

NPI1336872993
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSHOSHONE BANNOCK HOTEL & EVENT CENTER
Location Address777 BANNOCK TRAILFort Hall, ID 83203
Mailing Address777 Bannock TrailFort Hall, ID 83203 · (208) 238-4850
Organization SubpartYesParent: Cedar Spa
Authorized OfficialTaylia EdmoSpa Manager · (208) 238-4850
Enumeration DateJuly 1, 2022
NPPES CertifiedJune 23, 2022
NPI 1336872993 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
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.
777 BANNOCK TRAIL, Fort Hall, ID 83203

Other Names 1

Doing Business AsCedar Spa

Other Identifiers 1

Other020429ID · Health Management Administrators

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 Shoshone Bannock Hotel & Event Center's NPI number?

The NPI number for Shoshone Bannock Hotel & Event Center is 1336872993. It was assigned to this organization in the NPPES registry on July 1, 2022. The provider is doing business as Cedar Spa.

Where is Shoshone Bannock Hotel & Event Center located?

Shoshone Bannock Hotel & Event Center is located at 777 Bannock Trail, Fort Hall, ID 83203. The listed phone number is (208) 238-4850.

What is Shoshone Bannock Hotel & Event Center'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 Shoshone Bannock Hotel & Event Center was last updated on July 1, 2022. 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.