NPI
Country Clinical Massage
NPI 1578956637
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-03-13
- Last updated
- 2015-03-13
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Specialties
Licenses
- License ID
- MAS-47
Location
- Practice location
- 6101 E Highway 54 Ste A
- City
- Athol ID
- Postal code
- 83801-6085
- Phone
- (208) 755-6301
Organization contact
- Name
- Emily Smedley
- Title
- Licensed Massage Practitioner
- Phone
- (208) 755-6301
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Athol, ID. 44 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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