Active NPI
Cynthia Eldridge
- Massage Therapist
- Coeur d'Alene, ID
National Provider Identifier
1578966321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MASG-669
- Practice address
- 101 W Ironwood Dr Ste 236
Coeur D Alene, ID 83814-1415 - Phone
- (208) 667-3054
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | MASG-669 | ID | Primary |
Addresses
Primary practice location
101 W Ironwood Dr Ste 236
Coeur D Alene, ID 83814-1415
Mailing address
206 N Silkwood Dr
Post Falls, ID 83854-5194
Phone (208) 667-3054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASG-669 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1578966321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N SILKWOOD DR",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545194",
"telephone_number": "208-667-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W IRONWOOD DR STE 236",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838141415",
"telephone_number": "208-667-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MASG-669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
- Ego Matters Counseling & Mediation
- Roger Claus Ehlert, PHD
- Kera Eichinger
- Ekness & Sherman Associates, LLC (A Step Beyond)
- Ekness & Sherman Associates,LLC (A Step Beyond)
- Element Dental PLLC
- Leanne Elisha, PMHNP
- Elite Eyecare PC (Ironwood Vision Center)
- Elite Sports and Orthopedic Physical Therapy LLC
- Ellenbecker Eye Clinic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.