P Praxis·MD
● Active Type 1 · Individual

Kebbie Wheeler

Massage Therapist·Blackfoot, ID· NPI 1285243865 · Enumerated 2020 · 5 years on NPI
Wheeler is 1 of 3 massage therapist providers in Blackfoot and 1 of 798 in Idaho.
NPI age
5 years
Enumerated 2020-07-29
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-29
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
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Practice location
625 W Pacific St Ste 5
Blackfoot, ID 832212034
📞 2086803777
Mailing address
625 W Pacific St Ste 5
Blackfoot, ID 832212034
📞 2086803777

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-4039 taxonomy 225700000X

Identifiers

TypeValueNotes
01 (ID) 82-3190337 TRIWEST

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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