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
- Title
- Massage Therapist / Office Manager
- Phone
- (208) 762-6772
Practitioners 13
-
Aubrey Gass, LMT
-
Koy Atkinson, LMT
-
Rachael Susan Boelke, MAS-4345 MA 61150034
-
Eric Duncan, LMT
-
Raquel Pura Filipov, LICENSED MASSAGE THE
-
Tara Surprenant, LMT
-
Rose Morningstar, LICENSED MASSAGE THE
-
Crystal Lynn Spencer, LMT
National Provider Directory
Locations
2151 W Hayden Ave
Hayden, ID 83835
Phone (208) 762-6772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
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
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.