Individual provider Active NPI

Kristyn Olsen, LMT

  • Massage Therapist
  • Logan, UT
National Provider Identifier
1265293336
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
13412250-4701 Issued in UT
Practice address
67 E 100 N
Logan, UT 84321-4624
Phone
(801) 871-9323
Fax
(385) 333-7202
NPI assigned
Jan 17, 2024
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 13412250-4701 UT Primary

Addresses

Primary practice location

67 E 100 N
Logan, UT 84321-4624

Mailing address

2357 W 1800 S
Logan, UT 84321-6223
Phone (801) 871-9323

Other practice location 1

4455 S 700 E Ste 201
Salt Lake City, UT 84107-3076
Phone (801) 871-9323

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

LicenseStateTypeSpecialty
13412250-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Grove Bodywork Massage Therapist CurrentSince Nov 8, 2025 Accepting new patients

Locations

67 E 100 N
Logan, UT 84321
Phone (435) 512-5256

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

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1265293336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 W 1800 S",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216223",
            "telephone_number": "801-871-9323",
            "fax_number": "385-831-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E 100 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214624",
            "telephone_number": "801-871-9323",
            "fax_number": "385-333-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 S 700 E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841073076",
            "country_code": "US",
            "telephone_number": "801-871-9323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KRISTYN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "13412250-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.