P Praxis·MD
● Active Type 1 · Individual

Elizabeth Davenport, LMT

Massage Therapist·Malta, ID· NPI 1750963328 · Enumerated 2021 · 5 years on NPI
Davenport is 1 of 1 massage therapist providers in Malta and 1 of 798 in Idaho.
NPI age
5 years
Enumerated 2021-04-23
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-23
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
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 · 2021 → 2026

2021-04Enumerated in NPPES
2021 2026

Where they practice

Practice location
1503 E Highway 77
Malta, ID 833428627
📞 2084066420
Mailing address
1503 E Highway 77
Malta, ID 833428627
📞 1208406642

Additional practice locations

1 secondary location on file with NPPES.

Location 2
335 E Lewis St
Pocatello, ID 832016408
📞 2082440617

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 #MA3224 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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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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