Laura B Creekmore

Individual provider Active NPI Massage Therapist · North Logan, UT

NPI 1851192587 · NPPES record last updated Mar 19, 2025

Key facts

NPI
1851192587
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
13748477-4701 (UT)
Practice address
2077 N 200 E
North Logan, UT 84341-5505
Phone
(435) 554-1241
NPI assigned
Mar 19, 2025
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
13748477-4701UTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cache Medical Massage Massage Therapist Current
since Mar 24, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 13748477-4701 UT Yes

Addresses

Primary practice location

2077 N 200 E
North Logan, UT 84341-5505

Mailing address

744 W 400 N Unit J306
Logan, UT 84321-7096

Other providers in North Logan, UT

All providers in North Logan, UT · Massage Therapist in Utah

Sources for this page

Verify at the official NPI Registry.