Alysha Summer Allen

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7961361 Issued in ID

Practice address

181 W Commerce Dr
Hayden, ID 83835-9221

Phone

(208) 696-1330

NPI assigned

Sep 7, 2024

Last updated

Sep 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alysha Summer Frayser Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Voodoo, LLC

  dba Athol Massage Clinic

  • Massage Therapist
  • Hayden, ID
  • NPI 1033754791
  NPD

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1073348058",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W COMMERCE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359221",
            "telephone_number": "208-696-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ALYSHA",
        "middle_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "7961361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSHA",
            "last_name": "FRAYSER",
            "middle_name": "SUMMER",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Adair, FNP - BC
• Adam J Olscamp MD PC (Orthopedic Sports Institute)
• Daniel Leo Adams, DO
• Jonathan T Adams, P.A.-C
• Albertsons LLC (Safeway Pharmacy #0254)
• Holly B Alling, M.A., CCC-SLP
• Kailyn Alt
• Amaris Associates, PLLC (Amaris Behavioral Health)
• Shannon Andrews, LCSW
• Chase Lane Andriopoulos, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.