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

Mrs. Staci Dawn Ellis, LMT

Individual provider Specialist · NPI 1639519044

Mrs. Staci Dawn Ellis, LMT is a Specialist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2013
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1529 Belmont St
Boise, ID 83725-0001
Phone: (208) 426-1459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MASG-217 (ID)

Record details

NPI number1639519044
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 29, 2013
Last updated in NPPESJune 29, 2013

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