OrganizationActive
Untapped Health LLC
NPI 1104550102 · Massage Therapist · Idaho Falls, ID
Provider details
- NPI number
- 1104550102
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Justin Odell, Owner Therapist(208) 351-2114
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1800 E 17th St
Idaho Falls, ID 83404-6468
Phone: (208) 252-5770
Street-level locationGet directions
Mailing address
1800 E 17th St
Idaho Falls, ID 83404-6468
Registry dates
- Enumerated
- 2022-07-14
- Last updated
- 2022-07-14
- Certified
- 2022-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.