Allen Rose

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8473658-4701 Issued in UT

Practice address

1808 W 1800 N Ste a
Clinton, UT 84015-8503

Phone

(801) 217-3133

Fax

(801) 528-5067

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutix of Clinton LLC

  dba Therapeutix Mind & Body

  • Massage Therapist
  • Clinton, UT
  • NPI 1356122469
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1174352074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133",
            "fax_number": "801-528-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2348 Kiesel Ave",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844011964",
            "country_code": "US",
            "telephone_number": "015-285-0678",
            "fax_number": "801-528-5267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "8473658-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resurgencepro
• Ridgeline Clinton LLC (The Peaks at Clinton)
• Kilee Danielle Robinson, PA-C
• Roe RX Inc (Westside Health Mart)
• John Lee Roring, DDS
• Dennis C Roseth
• Hailey Russell, DNP, FNP
• Emily Ann Salisbury, MT-BC
• Vanessa Rae Sanders, LMT
• Welford G Sanford Jr., RPH

• Massage Therapist in Clinton, UT
• Providers in Clinton, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.