Deborah G Powell, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

9448D W Fairview Ave # D
Boise, ID 83704-8101

Phone

(208) 629-2006

NPI assigned

Dec 30, 2008

Last updated

Dec 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1881830586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9448D W FAIRVIEW AVE # D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048101",
            "telephone_number": "208-629-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9448D W FAIRVIEW AVE # D",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048101",
            "telephone_number": "208-629-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DEBORAH",
        "middle_name": "G",
        "credential": "NCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOISE CITY MASSAGE EXEMPT LICENSE",
            "identifier": "MX 070017",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE & BODYWORK",
            "identifier": "511654-06",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kelly Poulsen, DDS MS
• Tammy L Poulsen, LCSW
• Travis John Poulson, LAT, ATC, CSCS
• Brandon Dean Powell
• Callie Powell, RN
• Erin R Powell, M.D.
• Jacqueline Powell, PHARMD
• Jeremy Daniel Powell
• Jessica Marie Bigoney Powell, MS, CCC-SLP
• Nathan Powell

• 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 Dec 30, 2008; 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.