Rorri Henstock, L.M.T.
Individual provider Active NPI Massage Therapist · Buhl, ID
NPI 1609277276 · NPPES record last updated Sep 15, 2014
Key facts
- NPI
- 1609277276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MASG-241 (ID)
- Practice address
- 800 Main St
Buhl, ID 83316-1236 - Phone
- (208) 543-2005
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASG-241 | ID | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleverley Chiropractic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASG-241 | ID | Yes |
Addresses
Primary practice location
800 Main St
Buhl, ID 83316-1236
Mailing address
2305 E 2200 N
Twin Falls, ID 83301-0628
Phone (208) 329-0082
Other providers in Buhl, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.