NPIMap

Organization Active NPI

Refresh Yourself LLC

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1164709374
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
REFRESH YOURSELF LLC
Practice address
3065 S Bown Way
Boise, ID 83706-5499
Phone
(208) 331-9900
Fax
(208) 331-9901
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Carly Opheim
Title
Owner
Phone
(208) 331-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3065 S Bown Way
Boise, ID 83706-5499

Mailing address

3065 S Bown Way
Boise, ID 83706-5499
Phone (208) 331-9900

National Provider Directory

National Provider Directory

Locations

3065 S Bown Way
Boise, ID 83706
Phone (208) 331-9900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1164709374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065499",
            "telephone_number": "208-331-9900",
            "fax_number": "208-331-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065499",
            "telephone_number": "208-331-9900",
            "fax_number": "208-331-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRESH YOURSELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "OPHEIM",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-331-9900"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Nov 16, 2011; 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.