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

Mr. Keisuke Ida, ATC, MT

Individual provider Massage Therapist · NPI 1568276954

Mr. Keisuke Ida, ATC, MT is a Massage Therapist in Roseville, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

2040 Padside Dr
Roseville, CA 95747-8806
Phone: (916) 865-7990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1568276954
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , MT
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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