Individual provider · Type 1 NPI

Rayven Macnab

Massage Therapist · Eagle, ID

NPI number 1124906375 Active

Practice location

539 S Fitness Pl Ste 150
Eagle, ID 83616-7035

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1771552 (ID)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124906375

Rayven Macnab's National Provider Identifier is 1124906375, issued on Aug 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Aug 25, 2025.