Allison Jean Grace Branson
Individual provider Active NPI Massage Therapist · Moscow, ID
NPI 1992673446 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1992673446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 4571678 (ID)
- Practice address
- 116 E 3Rd St
Moscow, ID 83843-4318 - Phone
- (509) 339-3740
- NPI assigned
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4571678 | ID | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4571678 | ID | Yes |
Addresses
Primary practice location
116 E 3Rd St
Moscow, ID 83843-4318
Mailing address
2140 NW Robert St
Pullman, WA 99163-3692
Phone (509) 339-3740
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.