Organization Active NPI

Isha Recovery and Sculpt

  • Rehabilitation Practitioner
  • Cottonwood Heights, UT
National Provider Identifier
1821809765
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
ISHA RECOVERY AND SCULPT
Practice address
1770 E Ft Union Blvd Ste 101
Cottonwood Heights, UT 84121-2881
Phone
(385) 275-5765
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Tenisha Hicks, CMA
Title
Owner
Phone
(385) 275-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

1770 E Ft Union Blvd Ste 101
Cottonwood Heights, UT 84121-2881

Mailing address

1770 E Ft Union Blvd Ste 101
Cottonwood Heights, UT 84121-2881
Phone (385) 275-5765

Other names 1

  • Isha Esthetics LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1770 E Fort Union Blvd
Ste 101
Salt Lake Cty, UT 84121
Phone (801) 942-0069

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1821809765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E FT UNION BLVD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212881",
            "telephone_number": "385-275-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E FT UNION BLVD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212881",
            "telephone_number": "385-275-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHA RECOVERY AND SCULPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TENISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-275-5765",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isha Esthetics LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cottonwood Heights, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.