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

Tara Heisey, LMT

Individual provider Massage Therapist · NPI 1245194059

Tara Heisey, LMT is a Massage Therapist in Ponderay, Idaho. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

30544 Highway 200
Ponderay, ID 83852-5005
Phone: (208) 205-9559
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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 MSG010351 (PA)

Record details

NPI number1245194059
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

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