NPIMap

Organization Active NPI

Ckam Rejuvenation Center LLC

Doing business as Aiyanna Wellness Day Spa

  • Massage Therapist
  • Ponderay, ID
National Provider Identifier
1699309963
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CKAM REJUVENATION CENTER LLC
Doing business as
Aiyanna Wellness Day Spa
Practice address
30410 Highway 200 Ste 100
Ponderay, ID 83852-9601
Phone
(208) 263-3211
NPI assigned
Feb 26, 2020
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Arla Markael Bornhoft
Title
Owner
Phone
(208) 263-3211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

30410 Highway 200 Ste 100
Ponderay, ID 83852-9601

Mailing address

30410 Highway 200 Ste 100
Ponderay, ID 83852-9601
Phone (208) 627-9687

Other names 1

  • Aiyanna Wellness Day Spa Doing business as

National Provider Directory

National Provider Directory

Locations

1315 Highway 2
Ste 5
Sandpoint, ID 83864
Phone (208) 263-3211

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1699309963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30410 HIGHWAY 200 STE 100",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529601",
            "telephone_number": "208-627-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30410 HIGHWAY 200 STE 100",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529601",
            "telephone_number": "208-263-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKAM REJUVENATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "BORNHOFT",
        "authorized_official_first_name": "ARLA",
        "authorized_official_middle_name": "MARKAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-263-3211"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiyanna Wellness Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponderay, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.