Idaho Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

IDAHO MASSAGE LLC

Practice address

539 S Fitness PL #500
Eagle, ID 83616

Phone

(208) 507-8119

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tunde Lee SzekeresNPI 1508647645

Title

LMT

Phone

(208) 830-0106

Specialties & licenses 1

Addresses

Tax ID family

Idaho Massage LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Idaho Massage LLC

  • Massage Therapist
  • Eagle, ID
  • NPI 1134902844
  NPD tax ID

Locations

Practitioners 1

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.

• Tunde Szekeres

  • Massage Therapist
  • Eagle, ID
  • NPI 1508647645
  Authorized official Same address or phone

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1700563087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL #500",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-507-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S FITNESS PL #500",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-507-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SZEKERES",
        "authorized_official_first_name": "TUNDE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "208-830-0106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Z. Huntington, MD
• Idaho Allergy L.L.C.
• Idaho Center for Regenerative Medicine
• Idaho Innovative Dentistry, PLLC (Premier Dentistry of Eagle)
• Idaho Massage LLC
• Idaho Nutrition Associates, LLC
• Idaho Pain Associates PLLC
• Idaho Pharmacy LLC
• Idaho Surgical Partners, PC
• Idealspine Health Center

• Massage Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.