Katherine Heller, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

10712283-4701 Issued in UT

Practice address

6112 S 1550 E Ste 203
South Ogden, UT 84405-5010

Phone

(801) 897-8711

NPI assigned

Nov 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Structura Body Therapies, LLC

  • Specialist
  • South Ogden, UT
  • NPI 1124401443
  NPD

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1154795474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055010",
            "telephone_number": "801-897-8711",
            "fax_number": "385-333-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 S 1550 E STE 203",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844055010",
            "telephone_number": "801-897-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 NW 185th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972293492",
            "country_code": "US",
            "telephone_number": "503-290-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "KATHERINE",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "10712283-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Haslam, BCBA
• Madison Ann Hauck
• Health for Life Inc
• Health Solutions Chiropractic LLC
• Health Waves of Ogden
• Mikayla Herndon, RBT
• Gabriella Herrera, RBT
• Jennifer Hervey
• Cerissa Nicole Johnson Heth
• Shaun Thomas Heward, DMD, MD

• Massage Therapist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.