P Praxis·MD
● Active Type 1 · Individual

Kathryn Ashley Datkuliak, LMT

Massage Therapist·Lewiston, ID· NPI 1922877117 · Enumerated 2023 · 2 years on NPI
Datkuliak is 1 of 30 massage therapist providers in Lewiston and 1 of 798 in Idaho.
NPI age
2 years
Enumerated 2023-12-28
Primary specialty
Massage Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-28
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
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-12Enumerated in NPPES
2023 2026

Where they practice

Practice location
511 Thain Rd
Lewiston, ID 835015530
📞 2088169036
Mailing address
312 17th Ave
Lewiston, ID 835012767
📞 2088169036

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-5075 taxonomy 225700000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new massage therapist provider has been added in Lewiston 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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