ERNA SEREZLIC (NPI# 1598298804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598298804 |
| Entity Type | Individual |
| Full Name | ERNA SEREZLIC |
| Practice Address |
295 S Chipeta Way Salt Lake City UT 84108-1287 |
| Mailing Address |
1042 W State Cir Salt Lake City UT 84104-1362 |
| Practice Telephone | 2485141760 |
| Mailing Telephone | 8016356879 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7949549-4701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
295 S CHIPETA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248465 | Justin Charles Alvey | Pediatrics | 295 S Chipeta Way, University of Utah Department of Pediatrics, Salt Lake City, UT 84108-1287 | 2005-07-12 |
| 1912535501 | Margaret Jean Bale | Student in an Organized Health Care Education/Training Program | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-03-30 |
| 1376183582 | Claire Ann Goeke | Nurse Practitioner | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2020-01-15 |
| 1528544012 | Ashley Berrett | Dietitian, Registered | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2018-07-17 |
| 1588184105 | Samuel B. Zoucha | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-06-24 |
| 1114457413 | Adrienne Cohen | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-06-19 |
| 1447780119 | Christine Morris | Physician Assistant | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-06-15 |
| 1023545670 | Natalie Justine Tedford | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-05-15 |
| 1356876858 | Allison M. Fisher | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-04-22 |
| 1174056758 | Andrew Daniel Fontes | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2017-04-10 |
| 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 |
Please comment or provide details below to improve the information on ERNA SEREZLIC.
| 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.