UNTAPPED HEALTH LLC NPI 1104550102

NPI Information

  • NPI: 1104550102
  • Provider Name: UNTAPPED HEALTH LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 1800 E 17TH ST
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 252-5770

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NPI Details

UNTAPPED HEALTH LLC is a massage therapist in Idaho Falls, ID. The provider is 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. UNTAPPED HEALTH LLC NPI is 1104550102. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1800 E 17TH ST
IDAHO FALLS, ID
ZIP 83404-468
Phone: (208) 252-5770

The provider's authorized official is Justin T Odell .
The authorized official title is Owner Therapist and has the following contact phone number (208) 351-2114.

The enumeration date for this NPI number is 7/14/2022 and was last updated on 7/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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