Active NPI
Candice L Chase, LMT
- Massage Therapist
- Salt Lake City, UT
National Provider Identifier
1376846741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7454905-4701
- Practice address
- 420 E South Temple Ste 240
Salt Lake City, UT 84111-1319 - Phone
- (801) 864-4920
- NPI assigned
- Dec 7, 2010
- 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 | 7454905-4701 | UT | Primary |
Addresses
Primary practice location
420 E South Temple Ste 240
Salt Lake City, UT 84111-1319
Mailing address
2987 Tower Hill Way
West Valley City, UT 84120-5977
Phone (801) 864-4920
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 |
|---|---|---|---|
| 7454905-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1376846741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2987 TOWER HILL WAY",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841205977",
"telephone_number": "801-864-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E SOUTH TEMPLE STE 240",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111319",
"telephone_number": "801-864-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "CANDICE",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "7454905-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.