Organization Active NPI

Westside Therapeutic Massage

  • Massage Therapist
  • Clinton, UT
National Provider Identifier
1578282083
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WESTSIDE THERAPEUTIC MASSAGE
Practice address
1407 North 2000 West Suite J
Clinton, UT 84015-8562
Phone
(801) 784-5777
Fax
(801) 784-5778
NPI assigned
Aug 26, 2022
Organization subpart
Yes
Parent organization
WESTSIDE THERAPEUTIC MASSAGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Ms. Yolanda Brown, LMT
Title
Owner, Therapist
Phone
(801) 784-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1407 North 2000 West Suite J
Clinton, UT 84015-8562

Mailing address

1407 North 2000 West Suite J
Clinton, UT 84015-8562
Phone (801) 784-5777

National Provider Directory

National Provider Directory
Part of
Westside Therapeutic Massage

Locations

1407 N 2000 W
Ste J
West Point, UT 84015
Phone (801) 784-5777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1578282083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 NORTH 2000 WEST SUITE J",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158562",
            "telephone_number": "801-784-5777",
            "fax_number": "801-784-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NORTH 2000 WEST SUITE J",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158562",
            "telephone_number": "801-784-5777",
            "fax_number": "801-784-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE THERAPEUTIC MASSAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE THERAPEUTIC MASSAGE",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "801-784-5777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Aug 26, 2022; 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.