Kellie Christensen, LMT
Individual provider Active NPI Massage Therapist · Tremonton, UT
NPI 1104680487 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1104680487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 316332-4701 (UT)
- Practice address
- 305 East Main Street
Tremonton, UT 84337 - Phone
- (808) 278-0953
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 316332-4701 | UT | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 316332-4701 | UT | Yes |
Addresses
Primary practice location
305 East Main Street
Tremonton, UT 84337
Mailing address
11820 N 10000 W
Tremonton, UT 84337
Phone (808) 278-0953
Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.