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

Tara Sistrunk, LMT

Individual provider Massage Therapist · NPI 1205501079

Tara Sistrunk, LMT is a Massage Therapist in Post Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

3900 E 16th Ave
Post Falls, ID 83854-8925
Phone: (208) 996-1177
Fax: (208) 694-1423
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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-4445 (ID)

Record details

NPI number1205501079
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address3900 E 16th Ave, Post Falls, ID 83854-8925

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