Tyler Kneller
Massage Therapist in Post Falls, ID. Individual provider (NPI-1).
NPI number1457732091
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1457732091
- Entity type
- Individual (NPI-1)
- Name
- Tyler Kneller
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2015
- Last updated
- Jun 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1624 E Seltice WayPost Falls, ID 83854-7022
Phone 208-777-0128
Mailing address
1101 W Emma Ave Apt MCoeur D Alene, ID 83814-1511
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 48 Massage Therapist providers in Post Falls · All 945 providers in Post Falls
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