Brooke Allison Edde, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8986754-4701 Issued in UT

Practice address

4885 S 900 E Ste 201a
Salt Lake City, UT 84117-3907

Phone

(801) 644-9104

NPI assigned

Sep 19, 2023

Last updated

Sep 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1003694134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 S WOODDUCK LN",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841174117",
            "telephone_number": "180-164-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 S 900 E STE 201A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841173907",
            "telephone_number": "801-644-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDE",
        "first_name": "BROOKE",
        "middle_name": "ALLISON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "8986754-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Eckert, LCSW
• Kathryn Lynn Eckert, MD
• Leslie Pratt Eckford, RN, LCSW
• Cailin Lee Eckhart, MD
• Eclipse Home Health Inc
• Adam F. Eddington, MD
• Blake Garrett Eddington, MD
• Breanne Eddington, PA
• Melissa Eddy Cook
• Kathryn Elizabeth Eden, MD

• Massage Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.