Active NPI
Mikey Craig Campbell, LMT
- Massage Therapist
- Murray, UT
National Provider Identifier
1215748868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 12160665-4701
- Practice address
- 835 E 4800 S Ste 230
Murray, UT 84107-5535 - Phone
- (385) 297-1679
- NPI assigned
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 12160665-4701 | UT | Primary |
Addresses
Primary practice location
835 E 4800 S Ste 230
Murray, UT 84107-5535
Mailing address
865 N 1300 W
Salt Lake City, UT 84116-3885
Phone (385) 297-1679
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 |
|---|---|---|---|
| 12160665-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1215748868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 N 1300 W",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841163885",
"telephone_number": "385-297-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E 4800 S STE 230",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075535",
"telephone_number": "385-297-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MIKEY",
"middle_name": "CRAIG",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "12160665-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.