Active NPI
Candace L Sellman
- Massage Therapist
- Salt Lake City, UT
National Provider Identifier
1417622929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13815
- Practice address
- 650 W South Temple
Salt Lake City, UT 84104-1007 - Phone
- (165) 128-3289
- NPI assigned
- Aug 16, 2021
- 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 | 13815 | MT | Primary |
Addresses
Primary practice location
650 W South Temple
Salt Lake City, UT 84104-1007
Mailing address
PO Box 1165
Philipsburg, MT 59858-1165
Phone (165) 128-3289
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | c.sellman006@hotmail.com |
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 |
|---|---|---|---|
| 13815 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1417622929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1165",
"city": "PHILIPSBURG",
"state": "MT",
"postal_code": "598581165",
"telephone_number": "165-128-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W SOUTH TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041007",
"telephone_number": "165-128-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLMAN",
"first_name": "CANDACE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "13815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "c.sellman006@hotmail.com",
"affiliation": "N",
"address_1": "650 W South Temple",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841041007",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.