Lyndsy Ann Van Dam
Individual provider Active NPI Massage Therapist · Wellsville, UT
NPI 1699683144 · NPPES record last updated Aug 27, 2026
Key facts
- NPI
- 1699683144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14304764-4701 (UT)
- Practice address
- 595 S 200 W
Wellsville, UT 84339-9705 - Phone
- (435) 374-6240
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14304764-4701 | UT | Yes |
Addresses
Primary practice location
595 S 200 W
Wellsville, UT 84339-9705
Mailing address
595 S 200 W
Wellsville, UT 84339-9705
Phone (435) 374-6240
Other providers in Wellsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.