Star Therapeutic Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

STAR THERAPEUTIC MASSAGE LLC

Practice address

175 S Langer Lake Way
Star, ID 83669-5634

Phone

(208) 573-0448

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Kari-Lyn RubyNPI 1255764445

Title

Owner

Phone

(208) 573-0448

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kari-Lyn Ruby, LMT

  • Massage Therapist
  • Star, ID
  • NPI 1255764445
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1235958216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S LANGER LAKE WAY",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695634",
            "telephone_number": "208-573-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S LANGER LAKE WAY",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695634",
            "telephone_number": "208-573-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "KARI-LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-573-0448"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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