THERAPUTIC SPA, LLC (NPI# 1518197748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518197748 |
| Entity Type | Organization |
| Organization Name | THERAPUTIC SPA, LLC |
| Practice Address |
630 Shepard Ln Ste 102 Farmington UT 84025-3934 |
| Practice Telephone | 8014478680 |
| Practice Fax Number | 8014474211 |
| Mailing Telephone | 8014478680 |
| Mailing Fax Number | 8014474211 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Authorized Official Name | LISA LARSON (MANAGER) |
| Authorized Official Telephone | 8014478680 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | UT | Respite Care Facility |
| Street Address |
630 SHEPARD LN STE 102 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003072067 | Linda Laura Palmer | Chiropractor | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2008-07-30 |
| 1174753305 | Health & Nutrition, LLC | Non-Pharmacy Dispensing Site | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-07-22 |
| 1114155512 | Kaye Espenschied Smith | Social Worker | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-06-24 |
| 1841428240 | Joel Smith | Specialist | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-06-24 |
| 1396989810 | Robin M Jones | Specialist | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-04-28 |
| 1093959512 | Joanna M White | Specialist | 630 Shepard Ln Ste 102, Farmington, UT 84025-3934 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659868388 | Home Care Providers | Respite Care | 610 E South Temple Ste 30, Salt Lake City, UT 84102-1140 | 2018-04-18 |
| 1780067785 | Country Niche Adult Day Care | Respite Care | 2179 W 1800 N Ste D, Clinton, UT 84015-7900 | 2015-07-08 |
| 1053728543 | Ehs Centerville LLC | Respite Care | 463 Rawlins Cir, Centerville, UT 84014-2104 | 2014-07-16 |
| 1275955080 | Cache Valley Adult Day Center, Inc. | Respite Care | 1488 N 200 W, Logan, UT 84341-6842 | 2014-01-14 |
| 1154766483 | Omal Management LLC | Respite Care | 2938 S Redwood Rd, West Valley City, UT 84119-2323 | 2013-04-30 |
| 1760826929 | Safeguard, Inc. | Respite Care | 1885 N Railroad St, Lehi, UT 84043-2858 | 2013-04-18 |
| 1760696264 | Transitions Inc. | Respite Care | 29 E Center St, Blanding, UT 84511-2948 | 2007-05-10 |
| 1811054182 | Utah State University | Respite Care | 809 N 800 E, Logan, UT 84321-3634 | 2007-01-03 |
| 1508896820 | Weber & Henshaw, Inc. | Respite Care | 4772 Plum St, Murray, UT 84123-3613 | 2006-07-03 |
| 1992319297 | Synergy Family Services | Respite Care | 5331 W Impressions Way, Kearns, UT 84118-8533 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.