NPIMap

Organization Active NPI

Good Voodoo, LLC

Doing business as Athol Massage Clinic

  • Massage Therapist
  • Hayden, ID
National Provider Identifier
1033754791
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
GOOD VOODOO, LLC
Doing business as
Athol Massage Clinic
CDA Massage Clinic
Hayden Massage Clinic2 more in Other names
Practice address
9751 N Government Way Ste 4
Hayden, ID 83835-9645
Phone
(208) 696-1300
NPI assigned
Nov 16, 2019
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Sarah Anderson Digre, LMTNPI 1104450758
Title
Massage Therapist
Phone
(208) 696-1330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

9751 N Government Way Ste 4
Hayden, ID 83835-9645

Mailing address

181 W Commerce Dr
Hayden, ID 83835-9221
Phone (208) 696-1330

Other names 5

  • Athol Massage Clinic Doing business as
  • CDA Massage Clinic Doing business as
  • Hayden Massage Clinic Doing business as
  • Hayden Yoga & Massage Doing business as
  • Post Falls Massage Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

181 W Commerce Dr
Hayden, ID 83835
Phone (208) 696-1330

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1033754791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W COMMERCE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359221",
            "telephone_number": "208-696-1330",
            "fax_number": "208-684-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 N GOVERNMENT WAY STE 4",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359645",
            "telephone_number": "208-696-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VOODOO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "DIGRE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "208-696-1330",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athol Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDA Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayden Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayden Yoga & Massage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Post Falls Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.