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DEREK WASEC ROBERTS LMT
NPI 1417776345
Massage Therapist in Boise, ID

Active since October 08, 2024
3046 S BOWN WAY STE A, BOISE, ID 83706(208) 318-6561 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Wasec Roberts Lmt NPPES

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

DEREK WASEC ROBERTS LMT (NPI 1417776345) is an individual massage therapist in Boise, Idaho, licensed in Idaho (MAS-4868) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1417776345
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEREK WASEC ROBERTSCredential: LMT
Location Address3046 S BOWN WAY STE ABoise, ID 83706-5499
Mailing Address217 S Powerline RdNampa, ID 83686-5440 · (208) 318-6561
Phone(208) 318-6561
Sole ProprietorNo
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1417776345 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-4868
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.
3046 S BOWN WAY STE A, Boise, ID 83706
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Other Providers at the Same Location NPPES

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

DR. REBECCA LEIGH GOMEZ APRN
Nurse Practitioner (Family)
3046 S BOWN WAY STE A
BOISE, ID 83706
Ada County (208) 515-0843

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 Derek Roberts's NPI number?

The NPI number for Derek Roberts is 1417776345. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Derek Roberts located?

Derek Roberts practices at 3046 S Bown Way Ste A, Boise, ID 83706. The listed phone number is (208) 318-6561.

What is Derek Roberts'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 Derek Roberts was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.