INCORPORATE MASSAGE CO (NPI# 1114570280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114570280 |
| Entity Type | Organization |
| Organization Name | INCORPORATE MASSAGE CO |
| Practice Address |
10808 S River Front Pkwy Ste 3054 South Jordan UT 84095-5759 |
| Practice Telephone | 8005562950 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | AMELIA WILCOX (CEO) |
| Authorized Official Telephone | 8018913192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INCORPORATE MASSAGE CO. | 10808 S River Front Pkwy # 3054, South Jordan, UT 84095-5759 |
| Street Address |
10808 S RIVER FRONT PKWY STE 3054 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1902384589 | Taunya Broomhead Robbins | Massage Therapist | 10241 S 1000 W, South Jordan, UT 84095-8825 | 2018-08-05 |
| 1760933832 | Naomi Mackert | Massage Therapist | 4988 W Wood Ranch Dr, South Jordan, UT 84009-1532 | 2016-10-24 |
| 1477844058 | Charlene Donne Laluk | Massage Therapist | 4547 Saint Andrews Dr, South Jordan, UT 84095-9755 | 2011-04-29 |
| 1760511422 | Micheal Black | Massage Therapist | 10358 S Redwood Rd, South Jordan, UT 84095-9339 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305841 | Meagan Elizabeth Coy | Massage Therapist | 76 S Main St Ste 7, Moab, UT 84532-2570 | 2020-10-29 |
| 1073113957 | Chelsy L Henline | Massage Therapist | 983 W Main St Ste G, Vernal, UT 84078-2433 | 2020-10-29 |
| 1649870858 | Devan Hadlock | Massage Therapist | 3324 S Holly Dr Apt 3, Millcreek, UT 84109-2691 | 2020-10-27 |
| 1245847961 | Krystle Renee Moon | Massage Therapist | 1568 W Almond Ln, West Jordan, UT 84088-9223 | 2020-09-27 |
| 1902413099 | Justin Gregory Sommers | Massage Therapist | 2030 E Summer Way, Eagle Mountain, UT 84005-4260 | 2020-09-23 |
| 1578179768 | Landon Otto Jarvies | Massage Therapist | 2254 W 325 S, Mapleton, UT 84664-4312 | 2020-09-22 |
| 1376159798 | Sophia Hanks | Massage Therapist | 1118 Chokeberry Dr, St George, UT 84790-8204 | 2020-09-21 |
| 1184230617 | Kurtis Lee Cook | Massage Therapist | 1414 S 800 W Apt 5-2, Woods Cross, UT 84087-2088 | 2020-09-21 |
| 1841804226 | Nanilia Lara | Massage Therapist | 643 Swenson Ave Apt 2, Springville, UT 84663-2562 | 2020-09-03 |
| 1063026573 | Evelyn Thomas | Massage Therapist | 6166 W 8010 S, West Jordan, UT 84081-4322 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.