Shea Gifford, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8269416-4701 Issued in UT

Practice address

193 E Fort Union Blvd Ste 203
Midvale, UT 84047-5543

Phone

(435) 592-3475

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Del Holdings, LLC

  • Massage Therapist
  • Rexburg, ID
  • NPI 1245622190
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1336699453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 WESTBURY WAY APT H",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434907",
            "telephone_number": "435-592-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 E FORT UNION BLVD STE 203",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475543",
            "telephone_number": "435-592-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Carlson Ave",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401914",
            "country_code": "US",
            "telephone_number": "208-557-3516",
            "fax_number": "208-549-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "SHEA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-2844",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "8269416-4701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MAS-2844",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8269416-4701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Gelb
• Generations Care Partners Corporation
• Chanlyn Monet Gerringer
• Erin Gibson, LCSW
• Kaiden Gibson
• Amy Gillespie, LCSW
• Riley Hilton Glassett
• Jessica Glauser, ATC, LAT
• Brian Godfrey, MT
• Dalia Gohary

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.