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CARLY BRIANN SAMPSON LMT
NPI 1972791556
Massage Therapist in Hayden, ID

Active since October 09, 2007
1102 W HAYDEN AVE, SUITE A, HAYDEN, ID 83835(208) 620-7150(208) 620-7120 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Briann Sampson Lmt NPPES

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

CARLY BRIANN SAMPSON LMT (NPI 1972791556) is an individual massage therapist in Hayden, Idaho, licensed in Idaho (MAS4614) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1972791556
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCARLY BRIANN SAMPSONCredential: LMT
Location Address1102 W HAYDEN AVE, SUITE AHayden, ID 83835
Mailing Address1102 W Hayden Ave, Suite AHayden, ID 83835 · (208) 620-7150 · Fax (208) 620-7120
Phone(208) 620-7150
Fax(208) 620-7120
Sole ProprietorYes
Enumeration DateOctober 9, 2007
Last NPPES UpdateOctober 12, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1972791556 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
Licenses✔ Licensed in ID · MAS4614✔ Licensed in WA · MA00024004
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.
1102 W HAYDEN AVE, Hayden, ID 83835
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Other Names 1

Former Name (1)Carly Briann Punzalan Lmt

Other Identifiers 1

Other0222574WA · Wa Dept.labor&industries

Other Providers at the Same Location NPPES

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

KLEIN CHIROPRACTIC
Chiropractor
1102 W HAYDEN AVE, STE 2
HAYDEN, ID 83835
Kootenai County (360) 561-5377

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 Carly Sampson's NPI number?

The NPI number for Carly Sampson is 1972791556. It was assigned to this individual provider in the NPPES registry on October 9, 2007. The provider is also known as Carly Briann Punzalan Lmt.

Where is Carly Sampson located?

Carly Sampson practices at 1102 W Hayden Ave Suite A, Hayden, ID 83835. The listed phone number is (208) 620-7150.

What is Carly Sampson'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 Carly Sampson was last updated on October 12, 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.