Equilibrium Massage Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

EQUILIBRIUM MASSAGE THERAPY

Practice address

2224 W Honeysuckle Ave
Hayden, ID 83835-8057

Phone

(208) 920-1630

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Misty Connella, LMTNPI 1710422605

Title

Owner

Phone

(208) 920-1630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Misty Zhenia Connella, L.M.T.

  • Massage Therapist
  • Coeur D Alene, ID
  • NPI 1710422605
  NPD (past) Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1225706120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2226",
            "city": "HAYDEN LAKE",
            "state": "ID",
            "postal_code": "838352226",
            "telephone_number": "208-215-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W HONEYSUCKLE AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358057",
            "telephone_number": "208-920-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "CONNELLA",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-920-1630",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanna Lynn Edson, PT
• Elevated Physical Therapy and Wellness LLC
• Megan Ellis
• Abigail Rebecca Emmons, LMT
• Kimberly Kay Endres, LMT
• Arlie E Esau, MD
• Ethos Progressive Care
• Kim Renee Evensvold, LMT
• Keisch Ann Exner, LMP
• Family Medical Care Clinics Corporation a Professional Association

• 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 Jan 28, 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.