Candice Triplett Bolton, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7719337-4701 Issued in UT

Practice address

167 E. Helm Ave. #a
S.L.C, UT 84119

Phone

(801) 548-8948

NPI assigned

Nov 22, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2010.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1811299092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E. HELM AVE. #A",
            "city": "S.L.C",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-548-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 E. HELM AVE. #A",
            "city": "S.L.C",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-548-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "CANDICE",
        "middle_name": "TRIPLETT",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "7719337-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azrah Binti Sikandar
• John Bishop, RBT
• Richard Bishop, PHARMD
• McKenzie Blatt, APRN
• Morgan Nicole Bolin, APRN
• Emily Boman
• Stephen Weston Boone
• Lee Cherie Booth, R.N.
• Louis Borgenicht, M.D.
• Andrea Amelia Borrego, CAADE

• All providers in S.L.C, UT
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.