NPI 1124906375

Rayven Macnab

Practitioner Massage Therapist Eagle, ID

Practice location

Address: 539 S Fitness Pl STE 150, Eagle, ID 83616-7035
Phone: (208) 507-8119

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 1771552 (ID)

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Registry record

NPI: 1124906375
Entity type: Individual
Sex (as registered): X
NPI issued: 25 Aug 2025
Record last updated: 25 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.