Sadie Goodrich
Individual provider Active NPI Massage Therapist · Eagle Mountain, UT
NPI 1285430637 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1285430637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14084907-4701 (UT)
- Practice address
- 3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520 - Phone
- (801) 996-7911
- NPI assigned
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14084907-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Spa & Float - Eagle Mountain LLC | Current |
Accepting new patients |
Locations
3435 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 996-7911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14084907-4701 | UT | Yes |
Addresses
Primary practice location
3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520
Mailing address
3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520
Other providers in Eagle Mountain, UT
- Bart Travis Gardiner
- Darren James Gillespie
- Lindsay Marie Gneiting
- Marilee Goljahmofrad
- Vanessa Marie Gonzalez Churchill
- Carol J Gross
- Guardian Family Medicine
- Braden Gurney
- Evan Michael Gwilliam
- Derek Willis Hagey
All providers in Eagle Mountain, UT · Massage Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.