Active NPI
McKenzie Mouser
- Massage Therapist
- Boise, ID
National Provider Identifier
1154228856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3040
- Practice address
- 2301 N 36TH St Ste 101
Boise, ID 83703-5037 - Phone
- (208) 331-3100
- NPI assigned
- Oct 24, 2026
- Last updated
- Oct 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-3040 | ID | Primary |
Addresses
Primary practice location
2301 N 36TH St Ste 101
Boise, ID 83703-5037
Mailing address
7180 W Snohomish St
Boise, ID 83709-6057
Phone (209) 369-1825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Organizations & group practices 1
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.
-
- Massage Therapist
- Boise, ID
- NPI 1417854118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792800000000",
"number": "1154228856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 W SNOHOMISH ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837096057",
"telephone_number": "209-369-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N 36TH ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837035037",
"telephone_number": "208-331-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSER",
"first_name": "MCKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-24",
"last_updated": "2026-10-24",
"certification_date": "2026-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.