Steven Ray Ahrendts

Individual provider Active NPI Massage Therapist · Moscow, ID

NPI 1497682736 · NPPES record last updated May 8, 2026

Key facts

NPI
1497682736
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MAS-3702 (ID)
Practice address
316 N Main St
Moscow, ID 83843-2629
Phone
(208) 892-0318
NPI assigned
May 8, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MAS-3702IDMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAS-3702 ID Yes

Addresses

Primary practice location

316 N Main St
Moscow, ID 83843-2629

Mailing address

PO Box 357
Juliaetta, ID 83535-0357
Phone (208) 604-1748

Other providers in Moscow, ID

All providers in Moscow, ID · Massage Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.