Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho Sport Massage LLC

Organization Massage Therapist · NPI 1932946332

Idaho Sport Massage LLC is a Massage Therapist in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

675 Yellowstone Ave # 1
Pocatello, ID 83201-4511
Phone: (208) 478-1488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1932946332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindy Cervantes — Owner · (435) 580-9461
Other names Idaho Sport Massage; Idaho Sport Massage
NPI enumeratedJuly 11, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address4846 Hiram Ave, Chubbuck, ID 83202-3018

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