SHEA GIFFORD LMT NPI 1336699453

NPI Information

  • NPI: 1336699453
  • Provider Name: SHEA GIFFORD, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 193 E FORT UNION BLVD STE 203
    MIDVALE, UT
    ZIP 84047
  • Phone: (435) 592-3475

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NPI Details

Shea Gifford, LMT is a massage therapist in Midvale, UT. The provider is 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. Shea Gifford, LMT NPI is 1336699453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

193 E FORT UNION BLVD STE 203
MIDVALE, UT
ZIP 84047-543
Phone: (435) 592-3475

The enumeration date for this NPI number is 10/12/2016 and was last updated on 2/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMAS-2844IDAHONo
2225700000XMassage Therapist8269416-4701UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MAS-2844OTHERIDAHOSTATE LICENSE
28269416-4701OTHERUTAHSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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