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

Tracy Jo Ellis, LMT

Individual provider Contractor · NPI 1649664442

Tracy Jo Ellis, LMT is a Contractor in Hayden Lake, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

157 W Hayden Ave
Hayden Lake, ID 83835-9650
Phone: (509) 216-3663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence MAS-1492 (ID)

Record details

NPI number1649664442
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 19, 2015
Last updated in NPPESMarch 19, 2015
Mailing address1628 W Judy K Dr, Rathdrum, ID 83858-7502