NPI 1245194059

Tara Heisey, LMT

Practitioner Massage Therapist Ponderay, ID

Practice location

Address: 30544 Highway 200, Ponderay, ID 83852-5005
Phone: (208) 205-9559
Mailing address: 504 N Forest Ave, Sandpoint, ID 83864-1925

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MSG010351 (PA)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1245194059
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2025
Record last updated: 15 Dec 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.