NPI age
3 years
Enumerated 2022-07-01
● Active Type 2 · Organization
Subpart
Shoshone Bannock Hotel & Event Center
Shoshone Bannock Hotel & Event Center is 1 of 798 massage therapist organizations in Idaho.
Primary specialty
Massage Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Edmo
Spa Manager
Last NPPES update
2022-07-01
Source: monthly bulk 2026-05
How this organization compares
Across 798 active massage therapist providers in Idaho.
NPI age
3 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
777 Bannock Trail
Fort Hall, ID 83203
Mailing address
777 Bannock Trail
Fort Hall, ID 83203
Authorized official
Taylia Edmo, LMT
Spa Manager
📞 2082384850
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) | 020429 | HEALTH MANAGEMENT ADMINISTRATORS |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cedar Spa
Practice context
Single-site organization. Only one practice location on file.
Subpart of Cedar Spa.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.