Individual
SHEA GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8269416-4701
UT
225700000X
Massage Therapist
MAS-2844
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8269416-4701
STATE LICENSE
UT
01
—
MAS-2844
STATE LICENSE
ID
Enumeration date
10/12/2016
Last updated
02/26/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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