DEBORAH DIANE WADE LMT NPI 1124725825

NPI Information

  • NPI: 1124725825
  • Provider Name: DEBORAH DIANE WADE, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 331 DEINHARD LN
    MCCALL, ID
    ZIP 83638
  • Phone: (208) 315-0863

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NPI Details

Deborah Diane Wade, LMT is a massage therapist in Mccall, 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. Deborah Diane Wade, LMT NPI is 1124725825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

331 DEINHARD LN
MCCALL, ID
ZIP 83638-703
Phone: (208) 315-0863

The enumeration date for this NPI number is 2/13/2023 and was last updated on 2/13/2023.

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 Therapist4344KENTUCKYNo
2225700000XMassage Therapist23763COLORADONo
3225700000XMassage TherapistMAS-4463IDAHOYes

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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