KIM RENEE EVENSVOLD LMT NPI 1982445623

NPI Information

  • NPI: 1982445623
  • Provider Name: KIM RENEE EVENSVOLD, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: HAYDEN YOGA & MASSAGE
    181 W. COMMERCE DRIVE
    HAYDEN, ID
    ZIP 83835
  • Phone: (208) 696-1330

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NPI Details

Kim Renee Evensvold, 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. Kim Renee Evensvold, LMT NPI is 1982445623. 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:

HAYDEN YOGA & MASSAGE
181 W. COMMERCE DRIVE
HAYDEN, ID
ZIP 83835
Phone: (208) 696-1330

The enumeration date for this NPI number is 6/5/2024 and was last updated on 6/5/2024.

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 TherapistMAS-3558IDAHOYes

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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