Individual provider · Type 1 NPI

Adele R. Dela Roaa, LMT

Massage Therapist · Eagle, ID

NPI number 1174434484 Active

Practice location

435 E Shore Dr Ste 130
Eagle, ID 83616-5754

Call (808) 333-7694 Map

Mailing address

5239 N Ebbetts Ave
Boise, ID 83713-1279

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-4839 (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 1174434484

Adele R. Dela Roaa, LMT's National Provider Identifier is 1174434484, issued on Sep 15, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Sep 15, 2026.