Ascencion Badal, LMT, MMP

Individual provider Active NPI Massage Therapist · South Ogden, UT

NPI 1689182149 · NPPES record last updated Jan 18, 2018

Key facts

NPI
1689182149
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
361722-4701 (UT)
Practice address
1893 E Skyline Dr
South Ogden, UT 84403-5218
Phone
(801) 644-5957
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
361722-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Touch Massage LLC Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 361722-4701 UT Yes

Addresses

Primary practice location

1893 E Skyline Dr
South Ogden, UT 84403-5218

Mailing address

4729 S 200 W
Ogden, UT 84405-6109

Other providers in South Ogden, UT

All providers in South Ogden, UT · Massage Therapist in Utah

Sources for this page

Verify at the official NPI Registry.