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

Mr. Bryon Keith Stolle II, LMT

Individual provider Massage Therapist · NPI 1912617960

Mr. Bryon Keith Stolle II, LMT is a Massage Therapist in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2022.

Licensed in
ID
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

781 N Shadowridge Ave
Eagle, ID 83616-5674
Phone: (208) 573-0842
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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 MAS-3858 (ID)

Record details

NPI number1912617960
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

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