Logan Karratti

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12054372-4701 Issued in UT

Practice address

3210 N Canyon Rd Ste 307
Provo, UT 84604-6508

Phone

(801) 310-5385

Fax

(801) 655-9411

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• The Body Hackers

  • Clinic/Center
  • Provo, UT
  • NPI 1033870027
  NPD Authorized official

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1396498945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N CANYON RD STE 307",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N CANYON RD STE 307",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046508",
            "telephone_number": "801-310-5385",
            "fax_number": "801-655-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRATTI",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "12054372-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thebodyhackers.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "3210 N Canyon Rd Ste 307",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846046508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Davis Kealanohea Kane, PHD
• Amy Kankiewicz
• Wendy F. Kanno, RN
• Jalaine Kantor, DIETITIAN
• Heidi Kaouk
• Haley Ann Kassel
• Kauo Deisher and Associates
• Chad Barrett Kawa, M.D.
• Megan Elizabeth Kay, RN
• Trena Kaye

• Massage Therapist in Provo, UT
• Providers in Provo, 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 2, 2022; 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.