Individual provider Active NPI

Kaylor Miller, LMT

  • Massage Therapist
  • South Jordan, UT
National Provider Identifier
1720828411
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
109645874701 Issued in UT
Practice address
10408 S 1055 W Ste 201
South Jordan, UT 84095-1511
Phone
(385) 526-3385
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 109645874701 UT Primary

Addresses

Primary practice location

10408 S 1055 W Ste 201
South Jordan, UT 84095-1511

Mailing address

13520 S Lone Rock Dr
Draper, UT 84020-8053
Phone (801) 702-1703

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

LicenseStateTypeSpecialty
109645874701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krystal Christensen Massage Therapy, LLC Massage Therapist CurrentSince Jun 2, 2024 Accepting new patients

Locations

10408 S 1055 W
Ste 201
South Jordan, UT 84095
Phone (385) 464-9550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1720828411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13520 S LONE ROCK DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208053",
            "telephone_number": "801-702-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 S 1055 W STE 201",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951511",
            "telephone_number": "385-526-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAYLOR",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "109645874701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.