P Praxis·MD
● Active Type 1 · Individual

Tanna Susan Willis, LCMT

Massage Therapist·Boise, ID· NPI 1033551015 · Enumerated 2013 · 12 years on NPI
Willis is 1 of 166 massage therapist providers in Boise and 1 of 798 in Idaho.
NPI age
12 years
Enumerated 2013-07-19
Primary specialty
Massage Therapist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 798 active massage therapist providers in Idaho.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 7% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
1529 Belmont St
Boise, ID 837250001
📞 2084261459
Mailing address
1910 University Dr
Boise, ID 837251351

Specialties

  • Massage Therapist Primary
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    ID license #MAS-732 taxonomy 225700000X
  • Clinic/Center
    Definition to come...
    ID license #820290701 taxonomy 261QS1000X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

Recently enumerated nearby: 7 new massage therapist providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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