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Active NPI 1477307957 Individual Practitioner Male Practitioner

David Pierre Lederman , LMT

Massage Therapist • Ketchum, ID

Professional Overview & Biography Verified Profile Summary

David Lederman, LMT is a registered healthcare professional specializing in Massage Therapist in Ketchum, ID. Practice services are available at 630 SUN VALLEY ROAD SUITE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

630 Sun Valley Road Suite 5

Ketchum, ID 83340

Telephone 2084817153

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Ketchum, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Ketchum, ID (779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-09
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License ID MAS-2637

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 12, 2024

NPI status registered as active in NPPES database

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Updated Practice Location April 12, 2024

Registered at 630 SUN VALLEY ROAD SUITE 5, KETCHUM, ID 83340 (Tel: 2084817153)

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Updated Business Mailing Address April 12, 2024

Registered at 706 S MAIN ST STE 109, HAILEY, ID 833338312 (Tel: 2084817153)

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Provider Name / Credentials Updated April 12, 2024

Recorded as DAVID LEDERMAN, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2024

Massage Therapist (License #MAS-2637 in ID)

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Initial NPI Registration & Enumeration April 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477307957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2024
Last Update: April 12, 2024
Sole Proprietor: Yes

Mailing Address

706 S Main St Ste 109

Hailey, ID 833338312

Phone: 2084817153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.