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

BETHANEY CLARK LMT
NPI 1669130365
Massage Therapist in Boise, ID

Active since November 30, 2021
3350 W AMERICANA TER STE 360-I, BOISE, ID 83706(208) 695-7585 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2022, Nov 30, 2021 (2 updates tracked since 2021).

About Bethaney Clark Lmt NPPES

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

BETHANEY CLARK LMT (NPI 1669130365) is an individual massage therapist in Boise, Idaho, licensed in Idaho (MAS-4466) and active in the NPI registry since November 2021. She maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1669130365
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameBETHANEY CLARKCredential: LMT
Location Address3350 W AMERICANA TER STE 360-IBoise, ID 83706-2521
Mailing Address3503 W Alpine StBoise, ID 83705-1526 · (208) 695-7585
Phone(208) 695-7585
Sole ProprietorYes
Enumeration DateNovember 30, 2021
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1669130365 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-4466
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.
3350 W AMERICANA TER STE 360-I, Boise, ID 83706
Open in Google Maps ↗

Secondary Practice Location 1

Location 11965 S Eagle RdMeridian, ID 83642-9288 · Phone (208) 695-7585

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 Bethaney Clark's NPI number?

The NPI number for Bethaney Clark is 1669130365. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Bethaney Clark located?

Bethaney Clark practices at 3350 W Americana Ter Ste 360-I, Boise, ID 83706. The listed phone number is (208) 695-7585.

What is Bethaney Clark'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 Bethaney Clark was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.