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TARA SURPRENANT LMT
NPI 1710698212
Massage Therapist in Hayden, ID

Active since December 06, 2022
2151 W HAYDEN AVE, HAYDEN, ID 83835(208) 762-6772 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Surprenant Lmt NPPES

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

TARA SURPRENANT LMT (NPI 1710698212) is an individual massage therapist in Hayden, Idaho, licensed in Idaho (MAS4938) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1710698212
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameTARA SURPRENANTCredential: LMT
Location Address2151 W HAYDEN AVEHayden, ID 83835-7414
Mailing Address2151 W Hayden AveHayden, ID 83835-7414 · (208) 762-6772
Phone(208) 762-6772
Sole ProprietorNo
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1710698212 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 · MAS4938
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.
2151 W HAYDEN AVE, Hayden, ID 83835
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Other Providers at the Same Location NPPES 13

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

BODY TECH MASSAGE & WELLNESS
Clinic/Center (Primary Care)
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772
STEPHANIE SCHROEDER
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772
MEGAN ELLIS
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772
MRS. JESSICA KAARI DRETKE LMT
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 215-4269
MS. VICTORIA ANN PURVIANCE LCPC
Counselor (Mental Health)
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 661-1776
BETHANY BLOOMER
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772
RACHAEL SUSAN BOELKE MAS-4345 MA 61150034
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772
ERIC DUNCAN LMT
Massage Therapist
2151 W HAYDEN AVE
HAYDEN, ID 83835
Kootenai County (208) 762-6772

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 Surprenant's NPI number?

The NPI number for Tara Surprenant is 1710698212. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Tara Surprenant located?

Tara Surprenant practices at 2151 W Hayden Ave, Hayden, ID 83835. The listed phone number is (208) 762-6772.

What is Tara Surprenant'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 Surprenant was last updated on December 6, 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.