Active NPI
Shaunte C Dolar
- Massage Therapist
- Cottonwood Heights, UT
National Provider Identifier
1609634500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13552620-4701
- Practice address
- 1787 E Fort Union Blvd
Cottonwood Heights, UT 84121-2850 - Phone
- (801) 997-8881
- NPI assigned
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13552620-4701 | UT | Primary |
Addresses
Primary practice location
1787 E Fort Union Blvd
Cottonwood Heights, UT 84121-2850
Mailing address
758 W 1400 S Apt 4
Woods Cross, UT 84087-1565
Phone (801) 649-7077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13552620-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1609634500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 W 1400 S APT 4",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840871565",
"telephone_number": "801-649-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1787 E FORT UNION BLVD",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841212850",
"telephone_number": "801-997-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAR",
"first_name": "SHAUNTE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "13552620-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.