CARLY BRIANN SAMPSON LMT NPI 1972791556

NPI Information

NPI: 1972791556
Provider Name: CARLY BRIANN SAMPSON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address: 1102 W HAYDEN AVE
SUITE A
HAYDEN, ID
ZIP 83835
Phone: (208) 620-7150

Map and Directions

Get Directions

NPI Details

Carly Briann Sampson, LMT is a massage therapist in Hayden, 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. Carly Briann Sampson, LMT NPI is 1972791556. 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:

1102 W HAYDEN AVE
SUITE A
HAYDEN, ID
ZIP 83835
Phone: (208) 620-7150
Fax: (208) 620-7120

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/12/2022.

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
1	225700000X	Massage Therapist		MA00024004	WASHINGTON	No
2	225700000X	Massage Therapist		MAS4614	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0222574	OTHER	WASHINGTON	WA DEPT.LABOR&INDUSTRIES

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI