TEGAN PARADIS (NPI# 1194257121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194257121 |
| Entity Type | Individual |
| Full Name | TEGAN PARADIS |
| Credential | LMT |
| Practice Address |
590 S Wakara Way Salt Lake City UT 84108-1200 |
| Practice Telephone | 8015877090 |
| Mailing Telephone | 8015877090 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8558945-4701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
590 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524862 | Kimberly M Ross | Occupational Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2005-08-03 |
| 1558988717 | Logan James Couce | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-07-02 |
| 1457976581 | Abigail Bigham | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-06-15 |
| 1073141768 | Matthew Jiajing Siebert | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-30 |
| 1326676370 | Joshua Paul Rainey | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-27 |
| 1407483886 | Olivia Grothaus | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1316574775 | Eleanor Hope Sato | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1922632959 | Alexander John Reese | Pharmacist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-02-28 |
| 1679110548 | Byron C Miller | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-12-10 |
| 1851933501 | Gabrielle Lecheminant Grimmer | Physician Assistant | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1235757303 | Annjanene Ojeda | Massage Therapist | 825 E 4800 S Ste 136, Salt Lake City, UT 84107-5545 | 2020-07-06 |
| 1154943439 | Baomei Sun | Massage Therapist | 58 E 2700 S, Salt Lake City, UT 84115-3132 | 2020-05-10 |
| 1952864423 | Joel Hanes | Massage Therapist | 1850 S 300 W Ste B, Salt Lake City, UT 84115-2399 | 2019-04-10 |
| 1942787007 | Koni Christensen | Massage Therapist | 5138 W Day Park Dr, Salt Lake City, UT 84120-2830 | 2018-07-22 |
| 1568949733 | Nikki R. Whitlock | Massage Therapist | 1155 E Wilmington Ave Ste 250, Salt Lake City, UT 84106-7808 | 2018-07-20 |
| 1932694775 | Christine Rae Hagler | Massage Therapist | 306 E Downington Ave Apt 4, Salt Lake City, UT 84115-2257 | 2018-06-25 |
| 1396249868 | Kathryn Perkins | Massage Therapist | 1104 E Ashton Ave Ste 118, Salt Lake City, UT 84106-2348 | 2018-03-20 |
| 1598279358 | David Francois Camoin | Massage Therapist | 750 E Bueno Ave, Salt Lake City, UT 84102-4102 | 2017-11-30 |
| 1891223996 | Jennifer Baird | Massage Therapist | 320 E 1st Ave Apt 4, Salt Lake City, UT 84103-2653 | 2017-06-01 |
| 1861937708 | Angela Francom | Massage Therapist | 329 E 300 S, Ste 102, Salt Lake City, UT 84111-2752 | 2017-01-02 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.