Clois Paul Hancock, LMT, NAC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-812 Issued in ID

Practice address

8882 N Government Way Ste P
Hayden, ID 83835-9282

Phone

(208) 254-2099

NPI assigned

Oct 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Honor Therapeutics

  • Massage Therapist
  • Hayden, ID
  • NPI 1093500464

  Single Specialty

  NPD
• Elements Therapeutic Massage

  • Massage Therapist
  • Spokane, WA
  • NPI 1164664991

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1831861046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8882 N GOVERNMENT WAY STE P",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359282",
            "telephone_number": "509-904-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8882 N GOVERNMENT WAY STE P",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359282",
            "telephone_number": "208-254-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CLOIS",
        "middle_name": "PAUL",
        "credential": "LMT, NAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014647",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Griffitts, DMD
• Autumn Grove
• Clark William Guest, LAADC #LNR2090411
• Christopher Michael Hackett, D.C.
• Riley Cole Halligan, BCBA
• Philip A Hanger, PH.D
• Marty J Hann, DDS
• Stacy L Hannemann, OT
• Scott Hansen
• Robin Happeny, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.