Quantum Injury and Pain Clinic LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

213662-4701 Issued in UT

Legal business name

QUANTUM INJURY AND PAIN CLINIC LLC

Practice address

870 E 9400 S
Suite 100
Sandy, UT 84094-3666

Phone

(801) 553-9966

Fax

(801) 553-9949

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Katherin Miner, LMT

Title

Medical Massage Therapist

Phone

(801) 651-9263

Specialties & licenses 1

Addresses

Other names 1

• Hari Om Injury Clinic and Healing Arts LLC Former legal business name

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1962529008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 GARNET DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943661",
            "telephone_number": "801-651-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E 9400 S",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943666",
            "telephone_number": "801-553-9966",
            "fax_number": "801-553-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INJURY AND PAIN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_title_or_position": "MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "801-651-9263",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "213662-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hari Om Injury Clinic and Healing Arts LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.