Jesse Moffat Malan, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7907321-4701 Issued in UT

Practice address

169 W 2710 South Cir
St George, UT 84790-7201

Phone

(435) 609-9617

NPI assigned

Jul 11, 2023

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1467130138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N DIXIE DR UNIT 86",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706189",
            "telephone_number": "435-630-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907201",
            "telephone_number": "435-609-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAN",
        "first_name": "JESSE",
        "middle_name": "MOFFAT",
        "name_prefix": "Mr.",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "7907321-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Maiocco
• Amy Mair, LMT
• Jenny Mair
• Amber Majeskie, PT, DPT
• Michael R Major, MD
• Adolfo Jose Maldonado
• Lisa Malick
• Sarah Marie Malievsky, FNP-BC
• Grahm Malloy
• Julie Denise Malloy

• Massage Therapist in St George, UT
• Providers in St George, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.