P Praxis·MD
● Active Type 1 · Individual

Dominique Tardif, LMT

Massage Therapist·Boise, ID· NPI 1821462987 · Enumerated 2015 · 10 years on NPI
Tardif is 1 of 166 massage therapist providers in Boise and 1 of 798 in Idaho.
NPI age
10 years
Enumerated 2015-11-30
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-21
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
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-11Enumerated in NPPES
2015 2026

Where they practice

Practice location
413 W Idaho St Ste 202
Boise, ID 837026065
📞 2087810452
Mailing address
413 W Idaho St Ste 202
Boise, ID 837026065
📞 2087810452

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 #MASG-775 taxonomy 225700000X

Identifiers

TypeValueNotes
01 (ID) MASG775 LICENSE

Practice context

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

Recently enumerated nearby: 7 new massage therapist providers have been added in Boise in the last 180 days. See all →
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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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