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IDAHO SPORT MASSAGE
NPI 1932946332
Massage Therapist in Pocatello, ID

Active since July 11, 2024
675 YELLOWSTONE AVE # 1, POCATELLO, ID 83201(208) 478-1488 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Jul 11, 2024 (2 updates tracked since 2024).

About Idaho Sport Massage NPPES

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

IDAHO SPORT MASSAGE (NPI 1932946332) is a healthcare organization registered as a massage therapist in Pocatello, Idaho and active in the NPI registry since July 2024. The organization lists Mindy Cervantes, Owner, as its authorized official.

NPPES Registry Identity

NPI1932946332
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameIDAHO SPORT MASSAGE LLC
Location Address675 YELLOWSTONE AVE # 1Pocatello, ID 83201-4511
Mailing Address4846 Hiram AveChubbuck, ID 83202-3018 · (435) 580-9461
Phone(208) 478-1488
Organization SubpartNo
Authorized OfficialMindy CervantesOwner · (435) 580-9461
Enumeration DateJuly 11, 2024
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1932946332 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
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.

675 YELLOWSTONE AVE # 1, Pocatello, ID 83201
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Other Names 1

Doing Business AsIdaho Sport Massage

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. JONAH NICHOLAS HEYNEMAN PT, DPT
Physical Therapist
675 YELLOWSTONE AVE # 1
POCATELLO, ID 83201
Bannock County (208) 478-1488
TYLER SEBRING PT, DPT
Physical Therapist (Orthopedic)
675 YELLOWSTONE AVE # 1
POCATELLO, ID 83201
Bannock County (208) 478-1488
ABIGAIL WARNER PT, DPT
Physical Therapist
675 YELLOWSTONE AVE # 1
POCATELLO, ID 83201
Bannock County (208) 478-1488
TROY CHARLES SILER
Physical Therapist
675 YELLOWSTONE AVE # 1
POCATELLO, ID 83201
Bannock County (208) 478-1488

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 Idaho Sport Massage LLC's NPI number?

The NPI number for Idaho Sport Massage LLC is 1932946332. It was assigned to this organization in the NPPES registry on July 11, 2024. The provider is doing business as Idaho Sport Massage.

Where is Idaho Sport Massage LLC located?

Idaho Sport Massage LLC is located at 675 Yellowstone Ave # 1, Pocatello, ID 83201. The listed phone number is (208) 478-1488.

What is Idaho Sport Massage LLC'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 Idaho Sport Massage LLC was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.