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

Tara Surprenant, LMT

Individual provider Massage Therapist · NPI 1710698212

Tara Surprenant, LMT is a Massage Therapist in Hayden, 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

2151 W Hayden Ave
Hayden, ID 83835-7414
Phone: (208) 762-6772
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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 MAS4938 (ID)

Record details

NPI number1710698212
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address2151 W Hayden Ave, Hayden, ID 83835-7414

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