NPI age
3 years
Enumerated 2022-11-28
● Active
Type 1 · Individual
Kelli Marie E Booth, LMT
Booth is 1 of 84 massage therapist providers in Coeur D Alene and 1 of 798 in Idaho.
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-28
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
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Practice location
2362 N Old Mill Loop
Coeur D Alene, ID 838144954
Mailing address
2362 N Old Mill Loop
Coeur D Alene, ID 838144954
Specialties
-
Massage Therapist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | MAS-3429 | STATE LICENSURE |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new massage therapist providers have been added in Coeur D Alene in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.