Individual provider Active NPI

Victoria P Cano Sotelo, LMT

  • Massage Therapist
  • Clinton, UT
National Provider Identifier
1487547782
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14218484-4701 Issued in UT
Practice address
1808 W 1800 N Ste a
Clinton, UT 84015-8503
Phone
(801) 217-3133
Fax
(801) 528-5066
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 14218484-4701 UT Primary

Addresses

Primary practice location

1808 W 1800 N Ste a
Clinton, UT 84015-8503

Mailing address

1808 W 1800 N Ste a
Clinton, UT 84015-8503
Phone (801) 217-3133

Other practice location 1

2348 Kiesel Ave
Ogden, UT 84401-1964
Phone (801) 528-5066

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

LicenseStateTypeSpecialty
14218484-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutix of Clinton LLC Massage Therapist CurrentSince Jun 8, 2025 Accepting new patients
Therapeutix Mind & Body Inc Massage Therapist PastSince Mar 19, 2023 Accepting new patients

Locations

1808 W 1800 N
Ste A
Clinton, UT 84015
Phone (801) 217-3133

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1487547782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133",
            "fax_number": "801-528-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 W 1800 N STE A",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158503",
            "telephone_number": "801-217-3133",
            "fax_number": "801-528-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2348 Kiesel Ave",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844011964",
            "country_code": "US",
            "telephone_number": "801-528-5066",
            "fax_number": "801-528-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANO SOTELO",
        "first_name": "VICTORIA",
        "middle_name": "P",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "14218484-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.