Active NPI
Kylee Harvey, LMT
- Massage Therapist
- Ogden, UT
National Provider Identifier
1104581578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10769047-4701
- Practice address
- 707 24TH St Ste a
Ogden, UT 84401-2580 - Phone
- (801) 458-0203
- NPI assigned
- Nov 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10769047-4701 | UT | Primary |
Addresses
Primary practice location
707 24TH St Ste a
Ogden, UT 84401-2580
Mailing address
1333 Lorl LN Apt 1
Ogden, UT 84404-8027
Phone (801) 458-0203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107690474701 | Other | UT | TRIWEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10769047-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1104581578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 LORL LN APT 1",
"city": "OGDEN",
"state": "UT",
"postal_code": "844048027",
"telephone_number": "801-458-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 24TH ST STE A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012580",
"telephone_number": "801-458-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "KYLEE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "10769047-4701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "107690474701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.