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REBECCA STOUT P.T.A
NPI 1821412388
Massage Therapist in Grangeville, ID

Active since February 04, 2014
295 BLACK TAIL LN, GRANGEVILLE, ID 83530(208) 451-4752 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rebecca Stout P.t.a NPPES

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

REBECCA STOUT P.T.A (NPI 1821412388) is an individual massage therapist in Grangeville, Idaho, licensed in Wyoming (CCMT-23-71) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1821412388
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameREBECCA STOUTCredential: P.T.A
Location Address295 BLACK TAIL LNGrangeville, ID 83530-5099
Mailing Address1317 Plum StCheyenne, WY 82007-3333 · (208) 451-4752
Phone(208) 451-4752
Sole ProprietorYes
Enumeration DateFebruary 4, 2014
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1821412388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WY · CCMT-23-71
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.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License PTA2635 (ID)
295 BLACK TAIL LN, Grangeville, ID 83530
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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 Rebecca Stout's NPI number?

The NPI number for Rebecca Stout is 1821412388. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Rebecca Stout located?

Rebecca Stout practices at 295 Black Tail Ln, Grangeville, ID 83530. The listed phone number is (208) 451-4752.

What is Rebecca Stout'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 Rebecca Stout was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.