P Praxis·MD
● Active Type 1 · Individual

MS. Lisa J Kellim, LMT

Massage Therapist·Kamiah, ID· NPI 1225335144 · Enumerated 2011 · 15 years on NPI
Kellim is 1 of 2 massage therapist providers in Kamiah and 1 of 798 in Idaho.
NPI age
15 years
Enumerated 2011-02-14
Primary specialty
Massage Therapist
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-02-14
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
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
1102 3rd St
Kamiah, ID 835365333
📞 2089357702fax 2089351728
Mailing address
Po Box 1508
Kamiah, ID 835368500
📞 2089357702fax 2809351728

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.
    AZ license #MT-05752 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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