P Praxis·MD
● Active Type 1 · Individual

Susan McClellan, MASG-897

Massage Therapist·Spirit Lake, ID· NPI 1083003263 · Enumerated 2015 · 11 years on NPI
McClellan is 1 of 3 massage therapist providers in Spirit Lake and 1 of 798 in Idaho.
NPI age
11 years
Enumerated 2015-01-12
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 798 active massage therapist providers in Idaho.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-01Enumerated in NPPES
2015 2026

Where they practice

Practice location
5868 W. Massachusetts St
Spirit Lake, ID 838691173
📞 2086511591
Mailing address
Po Box 1173, 5868 W. Massachusetts St
Spirit Lake, ID 838691173
📞 2086511591

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 #MASG-897 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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