Active NPI
Michelle Didericksen
- Massage Therapist
- Layton, UT
National Provider Identifier
1245110055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13271863-4701
- Practice address
- 1133 N Main St Ste 144
Layton, UT 84041-4848 - Phone
- (580) 382-1290
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 13271863-4701 | UT | Primary |
Addresses
Primary practice location
1133 N Main St Ste 144
Layton, UT 84041-4848
Mailing address
2197 S 725 E
Clearfield, UT 84015-6239
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 |
|---|---|---|---|
| 13271863-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Integration Bodyworks | Massage Therapist | Current | Accepting new patients |
Locations
1133 N Main St
Ste 144
Layton, UT 84041
Phone (580) 382-1290
Organizations & group practices 1
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.
-
- Massage Therapist
- Clearfield, UT
- NPI 1619845179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1245110055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2197 S 725 E",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840156239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 N MAIN ST STE 144",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414848",
"telephone_number": "580-382-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIDERICKSEN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "13271863-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.