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General NPI Number Information
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NPI Number | 1841103181
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Entity Type | Organization
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Legal Business Name | NORTHPOINT SPA LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 30410 HIGHWAY 200 STE 100
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City | PONDERAY
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State | ID
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Zip | 83852-9601
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Country | US
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Telephone | 208-263-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 2058 SOUTHSIDE SCHOOL RD
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City | COCOLALLA
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State | ID
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Zip | 83813-9748
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Country | US
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Telephone | 253-766-7077
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | STEPHANIE ANN STEPHENS
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Credential |
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Telephone | 253-766-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | NULL
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