UPRIVER MYOPRACTIC, LLC
NPI 1952116519
Massage Therapist in Santa, ID
- Organization
- Massage Therapist
About UPRIVER MYOPRACTIC, LLC
This page provides the complete NPI Profile along with additional information for Upriver Myopractic, Llc, a provider established in Santa, Idaho operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1952116519 assigned on February 2025. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. James Colin Grady Lmt (Licensed Massage Therapist)
- NPI
- 1952116519 Verify this NPI
- Provider Name
- UPRIVER MYOPRACTIC, LLC
- Entity Type
- Organization
- Location Address
- 31 EAST DAVIS STREET SANTA, ID 83866
- Location Phone
- (208) 295-9500
- Mailing Address
- PO BOX 204 SANTA, ID 83866
- Mailing Phone
- (208) 295-9500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-11-2025
- Last Update Date
- 02-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952116519, enumerated as an "organization" on February 11, 2025.
The provider is located at 31 EAST DAVIS STREET SANTA, ID 83866 and the phone number is (208) 295-9500.
Massage Therapist with taxonomy code 225700000X.