Balanced Body Massage

Organization Active NPI Massage Therapist · Hayden, ID

NPI 1821982950 · NPPES record last updated Jun 4, 2025

Key facts

NPI
1821982950
Entity type
Organization (NPI type 2)
Primary specialty
Massage Therapist 225700000X
Legal business name
BALANCED BODY MASSAGE
Practice address
2151 W Hayden Ave
Hayden, ID 83835-7414
Phone
(208) 762-6772
Fax
(208) 518-3633
NPI assigned
Jun 4, 2025
Organization subpart
No

Authorized official

Name
Aubrey Gass, LMT NPI 1073158515
Title
Massage Therapist / Office Manager
Phone
(208) 762-6772

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2151 W Hayden Ave
Hayden, ID 83835
Phone (208) 762-6772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X Yes

Addresses

Primary practice location

2151 W Hayden Ave
Hayden, ID 83835-7414

Mailing address

2151 W Hayden Ave
Hayden, ID 83835-7414
Phone (208) 762-6772

Other names

  • Bodytech Massage and Wellness Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2025.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1821982950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357414",
            "telephone_number": "208-762-6772",
            "fax_number": "208-518-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W HAYDEN AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357414",
            "telephone_number": "208-762-6772",
            "fax_number": "208-518-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "GASS",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST / OFFICE MANAGER",
        "authorized_official_telephone_number": "208-762-6772",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodytech Massage and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

All providers in Hayden, ID · Massage Therapist in Idaho

Sources for this page

Verify at the official NPI Registry.