Paige Anderson, LMT
Individual provider Active NPI Massage Therapist · St George, UT
NPI 1457087736 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1457087736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 129193264701 (UT)
- Practice address
- 250 Red Cliffs Dr Ste 36
St George, UT 84790-8129 - Phone
- (435) 244-7740
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129193264701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Athletic Brands, Inc. | Massage Therapist | Current |
Accepting new patients |
Locations
250 Red Cliffs Dr
Ste 36
St George, UT 84790
Phone (435) 244-7740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 129193264701 | UT | Yes |
Addresses
Primary practice location
250 Red Cliffs Dr Ste 36
St George, UT 84790-8129
Mailing address
250 Red Cliffs Dr Ste 36
St George, UT 84790-8129
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.