ELIZABETH DAVENPORT LMT
NPI 1750963328
Massage Therapist in Malta, ID

Active since April 23, 2021
1503 E HIGHWAY 77, MALTA, ID 83342(208) 406-6420 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Davenport Lmt NPPES

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

ELIZABETH DAVENPORT LMT (NPI 1750963328) is an individual massage therapist in Malta, Idaho, licensed in Idaho (MA3224) and active in the NPI registry since April 2021. She maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1750963328
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameELIZABETH DAVENPORTCredential: LMT
Location Address1503 E HIGHWAY 77Malta, ID 83342-8627
Mailing Address1503 E Highway 77Malta, ID 83342-8627 · (120) 840-6642
Sole ProprietorNo
Enumeration DateApril 23, 2021
NPPES CertifiedApril 1, 2021
NPI 1750963328 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 · MA3224
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.
1503 E HIGHWAY 77, Malta, ID 83342

Secondary Practice Location 1

Location 1335 E Lewis StPocatello, ID 83201-6408 · Phone (208) 244-0617

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 Elizabeth Davenport's NPI number?

The NPI number for Elizabeth Davenport is 1750963328. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Elizabeth Davenport located?

Elizabeth Davenport practices at 1503 E Highway 77, Malta, ID 83342. The listed phone number is (208) 406-6420.

What is Elizabeth Davenport'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 Elizabeth Davenport was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.