P Praxis·MD
● Active Type 1 · Individual

Kevin Blair, LMT,PTA

Massage Therapist·Idaho Falls, ID· NPI 1053145110 · Enumerated 2024 · 1 years on NPI
Blair is 1 of 35 massage therapist providers in Idaho Falls and 1 of 798 in Idaho.
NPI age
1 years
Enumerated 2024-08-29
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-29
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
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
3155 Channing Way
Idaho Falls, ID 834047874
📞 2085578962
Mailing address
440 E 24th St
Idaho Falls, ID 834046946

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-4984 taxonomy 225700000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new massage therapist provider has been added in Idaho Falls 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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