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

Shoshone Bannock Hotel & Event Center

Organization Massage Therapist · NPI 1336872993

Shoshone Bannock Hotel & Event Center is a Massage Therapist in Fort Hall, Idaho. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

777 Bannock Trl
Fort Hall, ID 83203
Phone: (208) 238-4850
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 number1336872993
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCedar Spa
Authorized official Taylia Edmo — Spa Manager · (208) 238-4850
Other names Cedar Spa
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJune 23, 2022
Mailing address777 Bannock Trail, Fort Hall, ID 83203