Active NPI
Danielle Bree Olsen
- Massage Therapist
- Clinton, UT
National Provider Identifier
1649044140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8350215-4701
- Practice address
- 1808 W 1800 N Ste a
Clinton, UT 84015-8503 - Phone
- (801) 528-5066
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 8350215-4701 | UT | Primary |
Addresses
Primary practice location
1808 W 1800 N Ste a
Clinton, UT 84015-8503
Mailing address
563 Applewood Dr
Bountiful, UT 84010-7971
Phone (801) 898-0418
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 |
|---|---|---|---|
| 8350215-4701 | UT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutix Mind & Body Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Ogden, UT
- NPI 1952002768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1649044140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 APPLEWOOD DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107971",
"telephone_number": "801-898-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 W 1800 N STE A",
"city": "CLINTON",
"state": "UT",
"postal_code": "840158503",
"telephone_number": "801-528-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "DANIELLE",
"middle_name": "BREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "UT",
"license": "8350215-4701",
"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 Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.