Brielle Malan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11187040-4701 Issued in UT

Practice address

2348 Kiesel Ave
Ogden, UT 84401-1964

Phone

(801) 528-5066

NPI assigned

Aug 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapeutix Mind & Body Inc

  • Massage Therapist
  • Ogden, UT
  • NPI 1952002768
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1336922723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 S 1425 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035160",
            "telephone_number": "801-648-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 W 1800 N",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158485",
            "country_code": "US",
            "telephone_number": "801-217-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAN",
        "first_name": "BRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "11187040-4701",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mahana
• Dennis Major
• Kaycee Jo Majoris
• Mirna Makowski
• Malan Dental PC
• Cloie Malan, RD
• Colette Malan, LCSW
• Grace Malan
• Lee Jeppson Malan, MD
• Matthew Wendall Malan, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.