Soma Flex Therapeutics, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-2721 Issued in ID

Legal business name

SOMA FLEX THERAPEUTICS, LLC

Practice address

3050 N Lakeharbor LN Ste 164
Boise, ID 83703-6906

Phone

(208) 972-1910

NPI assigned

Aug 28, 2017

Last updated

Aug 28, 2017By 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

Tania Yegge, LMTNPI 1770948309

Title

Owner

Phone

(208) 972-1910

Specialties & licenses 2

Addresses

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.

• Tania Yegge, L.M.T.

  • Massage Therapist
  • Boise, ID
  • NPI 1770948309
  NPD (past) Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1861919177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 S FEDERAL WAY",
            "address_2": "V-106",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LAKEHARBOR LN STE 164",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036906",
            "telephone_number": "208-972-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA FLEX THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "YEGGE",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-972-1910",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT121623",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 28, 2017; 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.