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

Deneb Edwards, MT

Individual provider Massage Therapist · NPI 1023489218

Deneb Edwards, MT is a Massage Therapist in Burley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

1315 Oakley Ave
Burley, ID 83318-1833
Phone: (208) 244-2585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MASG-1932 (ID)

Record details

NPI number1023489218
Entity typeIndividual (Type 1)
GenderMale
Credentials MT
Sole proprietorYes
NPI enumeratedOctober 13, 2015
Last updated in NPPESOctober 13, 2015
Mailing address621 Doggett Dr, Heyburn, ID 83336-9639

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