Individual provider Active NPI

Katherine Marthaller, LMT

  • Massage Therapist
  • Boise, ID
National Provider Identifier
1649748609
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASG-2354 Issued in ID
Practice address
1390 S Maple Grove Rd
Boise, ID 83709-1610
Phone
(208) 672-0100
NPI assigned
Nov 7, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MASG-2354 ID Primary

Addresses

Primary practice location

1390 S Maple Grove Rd
Boise, ID 83709-1610

Mailing address

1390 S Maple Grove Rd
Boise, ID 83709-1610
Phone (208) 672-0100

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

LicenseStateTypeSpecialty
MASG-2354IDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rausch Chiropractic PLLC PastSince Jan 26, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1649748609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTHALLER",
        "first_name": "KATHERINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.