Renew You Therapies & Beauty LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG-303 Issued in ID

Legal business name

RENEW YOU THERAPIES & BEAUTY LLC

Practice address

1111 S Orchard St Ste 160
Boise, ID 83705-1977

Phone

(208) 546-9355

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By 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

Tesla Heidi Gillespie, LMT

Title

Owner

Phone

(208) 546-9355

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Heidi Gillespie, LMT

  • Massage Therapist
  • Boise, ID
  • NPI 1558763789
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1962804112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051977",
            "telephone_number": "208-546-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051977",
            "telephone_number": "208-546-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOU THERAPIES & BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "TESLA",
        "authorized_official_middle_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-546-9355",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG-303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "A0002158",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Bucknall Remmel Jr., M.D.
• Erin M Renak, PA-C, MPAP
• James Arthur Reneau
• Renee O. Bild, PLLC
• Renew Manual Physical Therapy PLLC
• Matthew D Renner, MD
• Ami Dawn Reno, LCSW
• Brandy Tiara Renz
• Richard Nikolaus Renz
• Lynette Marie Repaci, PHARM D, RPH

• 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 Sep 18, 2014; 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.