Organization Active NPI

The Massage Boutique

  • Massage Therapist
  • American Fork, UT
National Provider Identifier
1578952966
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7875506-4701 Issued in UT
Legal business name
THE MASSAGE BOUTIQUE
Practice address
12 W 100 N
202C
American Fork, UT 84003-1611
Phone
(801) 906-3270
NPI assigned
Jan 22, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Miss Marian Gappmayer Sharp, L.M.T.
Title
Owner
Phone
(801) 228-7634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 7875506-4701 UT Primary

Addresses

Primary practice location

12 W 100 N
202C
American Fork, UT 84003-1611

Mailing address

12 W 100 N
202C
American Fork, UT 84003
Phone (801) 906-3270

National Provider Directory

National Provider Directory

Locations

12 W 100 N
Ste 202C
American Fork, UT 84003
Phone (801) 906-3270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1578952966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W 100 N",
            "address_2": "202C",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-906-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W 100 N",
            "address_2": "202C",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031611",
            "telephone_number": "801-906-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASSAGE BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "GAPPMAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-228-7634",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "7875506-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.