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Staci Ellis, LMT
NPI 1639519044 · Specialist · Boise, ID
Staci Ellis, LMT is a Specialist provider in Boise, ID (NPI 1639519044).
Provider details
- NPI number
- 1639519044
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MASG-217 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1529 Belmont St
Boise, ID 83725-0001
Phone: (208) 426-1459
Street-level locationGet directions
Mailing address
3612 N Summercrest Pl
Meridian, ID 83646-7780
Registry dates
- Enumerated
- 2013-06-29
- Last updated
- 2013-06-29
Frequently asked questions
- What is Staci Ellis's NPI number?
- Staci Ellis's National Provider Identifier (NPI) is 1639519044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Staci Ellis's specialty?
- Staci Ellis is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Staci Ellis located?
- Staci Ellis's practice location on file with NPPES is 1529 Belmont St, Boise, ID 83725-0001.
- What is Staci Ellis's phone number?
- The practice phone number listed in the NPPES registry for Staci Ellis is (208) 426-1459.
- Is Staci Ellis's NPI active?
- Yes — Staci Ellis's NPI (1639519044) is active in the NPPES registry as of the last update on 2013-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.