Individual provider Active NPI

Bradley Edward Klingler, LMT

  • Massage Therapist
  • Ogden, UT
National Provider Identifier
1508746579
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
14237344-4701 Issued in UT
Practice address
2348 Kiesel Ave
Ogden, UT 84401-1964
Phone
(801) 528-5066
Fax
(801) 528-5067
NPI assigned
Sep 2, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 14237344-4701 UT Primary

Addresses

Primary practice location

2348 Kiesel Ave
Ogden, UT 84401-1964

Mailing address

1515 N 450 W Apt 106
Logan, UT 84341-5206
Phone (435) 938-2388

Other practice location 1

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutix Mind & Body Inc CurrentSince Sep 8, 2025 Accepting new patients
Therapeutix of Clinton LLC PastSince Oct 15, 2023 Accepting new patients

Locations

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

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

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1508746579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N 450 W APT 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843415206",
            "telephone_number": "435-938-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 KIESEL AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011964",
            "telephone_number": "801-528-5066",
            "fax_number": "801-528-5067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 W 1800 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158503",
            "country_code": "US",
            "telephone_number": "801-528-5066",
            "fax_number": "801-528-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLINGLER",
        "first_name": "BRADLEY",
        "middle_name": "EDWARD",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "14237344-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.