Individual provider Active NPI

Tyler Recla, LMT, CPT, CSMS, CES

  • Massage Therapist
  • Caldwell, ID
National Provider Identifier
1124810114
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAS-4369 Issued in ID
Practice address
4611 Enterprise Way
Caldwell, ID 83605-6764
Phone
(208) 584-5254
NPI assigned
May 19, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS-4369 ID Primary

Addresses

Primary practice location

4611 Enterprise Way
Caldwell, ID 83605-6764

Mailing address

7346 E Canterbury LN
Nampa, ID 83687-8390
Phone (208) 570-0058

Other practice location 1

36 N Echohawk Ln Ste 104B
Eagle, ID 83616-4013
Phone (208) 584-5254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAS-4369IDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1124810114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7346 E CANTERBURY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878390",
            "telephone_number": "208-570-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 ENTERPRISE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056764",
            "telephone_number": "208-584-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 N Echohawk Ln Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836164013",
            "country_code": "US",
            "telephone_number": "208-584-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECLA",
        "first_name": "TYLER",
        "credential": "LMT, CPT, CSMS, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-4369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.