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

Kaya Kaleolani Ruddle, MAS

Individual provider Massage Therapist · NPI 1194482638

Kaya Kaleolani Ruddle, MAS is a Massage Therapist in Clark Fork, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

770 Cabinet Gorge Rd
Clark Fork, ID 83811-7002
Phone: (208) 304-2535
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MAS-3798 (ID)

Record details

NPI number1194482638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAS
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021