Individual provider · Type 1 NPI
Kaya Kaleolani Ruddle, MAS
Massage Therapist · Clark Fork, ID
NPI number
1194482638
Active
Practice location
770 Cabinet Gorge Rd
Clark Fork, ID 83811-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-3798 (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.
About NPI 1194482638
Kaya Kaleolani Ruddle, MAS's National Provider Identifier is 1194482638, issued on Nov 18, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clark Fork, ID. The record was last updated on Nov 18, 2021.