Marisol Avelar, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-626 Issued in ID

Practice address

405 S 8TH St Ste 295
Boise, ID 83702-7100

Phone

(208) 342-7136

Fax

(208) 460-9107

NPI assigned

Oct 10, 2023

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

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 and National Provider Directory roles.

• Bodo Chiropractic

  • Chiropractor
  • Boise, ID
  • NPI 1396171187
  NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1912788563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S 8TH ST STE 295",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027100",
            "telephone_number": "208-342-7136",
            "fax_number": "208-460-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 8TH ST STE 295",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027100",
            "telephone_number": "208-342-7136",
            "fax_number": "208-460-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVELAR",
        "first_name": "MARISOL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autobus Ventures, LLC
• Autumn Rose Wellness LLC
• Patricia M. Avancena, MD-PHD
• Avanzar Wellness LLC
• Tejasi Avasare, DMD
• Dominique Avery
• Rhiannon Avery
• Avery'S House LLC
• Marilyn Avsharian, LMSW
• Awakenings Mental Health, PLLC

• 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 Oct 10, 2023; 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.