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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA STOUT, P.T.A

Active Sole Proprietor

REBECCA STOUT, P.T.A is a Massage Therapist healthcare provider located in GRANGEVILLE, Idaho. NPI 1821412388 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · GRANGEVILLE, ID

Registration Details

NPI Number
1821412388
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2014 (12.339383500207 yrs)
Last Updated
Mar 20, 2025
Licenses
PTA2635 (ID)
CCMT-23-71 (WY)
Sole Proprietor
Yes

Practice Information

Address
295 BLACK TAIL LN
GRANGEVILLE, ID, 835305099
Browse ID providers · Browse ZIP 83530
Phone
2084514752
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in GRANGEVILLE, ID

Name Credential NPI
CHRISTINA L. KOEHLER L.M.P. 1104005040
CHERYL ANN GEIB LMT 1700384534
COURTNEE RAE MOYLE LMT 1760121420
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.