Mynley Terry

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASP-5389 Issued in ID

Practice address

13999 W Wainwright Dr Ste 201
Boise, ID 83713-1967

Phone

(208) 939-0775

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mynley Greenley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Active Living Chiropractic & Wellness LLC

  • Chiropractor
  • Boise, ID
  • NPI 1316415623
  NPD
• Highland Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1548514409
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1801614839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 W WAINWRIGHT DR STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131967",
            "telephone_number": "208-939-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 W WAINWRIGHT DR STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131967",
            "telephone_number": "208-939-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "MYNLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASP-5389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYNLEY",
            "last_name": "GREENLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Dylan Tennent, PA-C
• Tennessee PHS PC
• Oscar Terrazas Jr., D.C.
• Ariel Terry
• Linda S Terry, LPC, LAMFT
• Beruk Welderufael Tesfamariam Sr.
• Barbara J Tesnohlidek, MD
• Teton Supported Living LLC
• Delaney Teuber
• Tracy Joanne Tew, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.