Breanna Fowles, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14160316-4701 Issued in UT

Practice address

3632 N Wolf Creek Dr
Eden, UT 84310-1720

Phone

(801) 745-8400

NPI assigned

Jun 16, 2026

Last updated

Jun 16, 2026By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1174458541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843100321",
            "telephone_number": "435-851-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 N WOLF CREEK DR",
            "city": "EDEN",
            "state": "UT",
            "postal_code": "843101720",
            "telephone_number": "801-745-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLES",
        "first_name": "BREANNA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "14160316-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLW DDS PLLC
• Kermit Kim Cowley, RPH
• Eden Family Care and Medical Aesthetics
• Elite Mus Holdings LLC (Valley Health)
• Theresa Ellis-Anglesey, LMT
• Lorrie Harper, M.S., P.T.
• Iverson & Burton Dental, LLC
• Iverson & Larsen Dental PLLC
• Iverson Dental, Inc. (Iverson Dental)
• Vern Quincy Iverson, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.