Malana LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MALANA LLC

Doing business as

MINT Physical Therapy

Practice address

6247 W Reuben Cir
West Valley City, UT 84128-7515

Phone

(801) 735-7585

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradley Allen Klemetson, DPTNPI 1598295586

Title

Physical Therapist

Phone

(801) 735-7585

Specialties & licenses 1

Addresses

Other names 1

• MINT Physical Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Allen Klemetson, DPT

  • Physical Therapist
  • Tooele, UT
  • NPI 1598295586
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1023691367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 W REUBEN CIR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841287515",
            "telephone_number": "801-735-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 W REUBEN CIR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841287515",
            "telephone_number": "801-735-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KLEMETSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "801-735-7585",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINT Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndon Mackay
• Morgan Olivia Macomber
• Madigan Anesthesia Services, LLC
• Karen Madigan, CRNA
• Quinten Madsen
• Patricia Maldonado, CAREGIVER
• Callissa Candalot Manu, BCBA
• Pilitia Margraff
• Jade Ivett Marroquin
• Jeremy Chadwick Marsh, PHARM. D.

• Physical Therapist in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.