Become Nourished by Nature

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

53765394701 Issued in UT

Legal business name

BECOME NOURISHED BY NATURE

Practice address

4646 S Highland Dr
Salt Lake City, UT 84117-5270

Phone

(801) 750-2811

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Amanda Rocco

Title

Owner/LMT

Phone

(801) 750-2811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1619309283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S HIGHLAND DR # 149",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175149",
            "telephone_number": "801-750-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 S HIGHLAND DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175270",
            "telephone_number": "801-750-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECOME NOURISHED BY NATURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "ROCCO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "801-750-2811"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "53765394701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.