Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYA KALEOLANI RUDDLE, MAS
ActiveKAYA KALEOLANI RUDDLE, MAS is a Massage Therapist healthcare provider located in CLARK FORK, Idaho. NPI 1194482638 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CLARK FORK, ID
Registration Details
- NPI Number
- 1194482638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2021 (4.7523722222222 yrs)
- Last Updated
- Nov 18, 2021
- License
-
MAS-3798 (ID)
Practice Information
- Address
-
770 CABINET GORGE RDCLARK FORK, ID, 838117002Browse ID providers · Browse ZIP 83811
- Phone
- 2083042535
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.