Idaho Sport Massage LLC
NPI 1932946332ActiveOrganization· Massage Therapist· Pocatello, ID
Massage Therapist in Pocatello, Idaho, registered in NPPES in July 2024. The authorized official on file is Mindy Cervantes, Owner.
Overview
| NPI | 1932946332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2024 |
| Last updated in NPPES | Oct 24, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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