SearchIdaho225700000X

Anthony Bautista, LMT, CPT, CES

NPI 1932082716 · on the registry since 2025 · sole proprietor

Practice

Address
8631 W Ardene St
Boise, ID 83709
Phone
(208) 629-1904
Organisation at this address
Ideal Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 206 S Midland Blvd, Nampa, ID

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho