Taneesha Mishel Knight

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-4698 Issued in ID

Practice address

539 S Fitness PL Ste 150
Eagle, ID 83616-7035

Phone

(805) 750-0323

NPI assigned

Nov 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Idaho Massage LLC

  • Massage Therapist
  • Eagle, ID
  • NPI 1134902844

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1003689449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "805-750-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167035",
            "telephone_number": "805-750-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TANEESHA",
        "middle_name": "MISHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Paul Kipp, MD, MPH
• Kirsch Wellness LLC
• Tara Anne Kishpaugh, LAT, AT.,C
• Stormy M Kleffner, AU.D.
• Scot Klein, FNP
• Daniel Stewart Knorpp, D.O.
• Kraig Kurtis Knotts, D.C.
• Heather Nicole Knutson, N.P.
• Megan Koehler, LPC
• Olga Kondratyuk

• Massage Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.