NPI age
4 years
Enumerated 2021-11-18
● Active
Type 1 · Individual
Kaya Kaleolani Ruddle, MAS
Ruddle is 1 of 1 massage therapist providers in Clark Fork and 1 of 798 in Idaho.
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-11-18
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
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Practice location
770 Cabinet Gorge Rd
Clark Fork, ID 838117002
Mailing address
770 Cabinet Gorge Rd
Clark Fork, ID 838117002
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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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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.