Active NPI
Tabbetha Ann Clouse-Petero
- Massage Therapist
- Kalispell, MT
National Provider Identifier
1689579625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-LMT-LIC-34355
- Practice address
- 2141 3Rd Ave E
Kalispell, MT 59901-5761 - Phone
- (406) 885-2231
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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 | LMT-LMT-LIC-34355 | MT | Primary |
Addresses
Primary practice location
2141 3Rd Ave E
Kalispell, MT 59901-5761
Mailing address
PO Box 1966
Columbia Falls, MT 59912-1966
Phone (406) 885-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1689579625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1966",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599121966",
"telephone_number": "406-885-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 3RD AVE E",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015761",
"telephone_number": "406-885-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSE-PETERO",
"first_name": "TABBETHA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT-LMT-LIC-34355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.