MRS. HEIDI LARENA VAN ETTEN (NPI# 1598035206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598035206 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI LARENA VAN ETTEN |
| Credential | L.M.T |
| Practice Address |
1140 36th St Suite #145 Ogden UT 84403-2050 |
| Practice Telephone | 8019174744 |
| Mailing Telephone | 8019174744 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 69018964701 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1140 36TH ST SUITE #145 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346329034 | Tristan Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1140 36th St, Ogden, UT 84403-2050 | 2006-11-03 |
| 1841722915 | Thad R Neilson | Specialist | 1140 36th St, Ste 165, Ogden, UT 84403-2050 | 2017-03-29 |
| 1104281997 | Nicole Dixon | Social Worker | 1140 36th St, Ogden, UT 84403-2050 | 2015-12-21 |
| 1588935480 | Nicole Jameson | Massage Therapist | 1140 36th St, Ste#145, Ogden, UT 84403-2050 | 2012-01-24 |
| 1093094062 | Marie Terese Jefferies | Social Worker | 1140 36th St, Ogden, UT 84403-2050 | 2011-08-09 |
| 1104136118 | Sara Gail Joglar | Social Worker | 1140 36th St, Suite 202, Ogden, UT 84403-2050 | 2010-10-12 |
| 1578870747 | Kristina Rae Mcdougal | Social Worker | 1140 36th St, Ogden, UT 84403-2050 | 2010-09-08 |
| 1942511894 | Benjamin Rhys Horman | Counselor | 1140 36th St, Ste 285, Ogden, UT 84403-2050 | 2010-06-25 |
| 1396902482 | Sutton Clinical Services LLC | Counselor | 1140 36th St, Ogden, UT 84403-2050 | 2008-05-18 |
| 1679774210 | Sharon R Reynolds | Social Worker | 1140 36th St, Suite Number 275, Ogden, UT 84403-2050 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| 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 |
|---|---|---|---|---|
| 1215561626 | Ashton Frederick Allen | Massage Therapist | 1460 Swan St, Ogden, UT 84401-2033 | 2020-02-25 |
| 1881239101 | Joell Maria Galarza | Massage Therapist | 1650 Cahoon St, Ogden, UT 84401-2151 | 2019-11-11 |
| 1922379825 | Kaley Marie Tallman | Massage Therapist | 3544 Lincoln Ave Ste 4, Ogden, UT 84401-4001 | 2012-01-24 |
| 1801115894 | Debra Denise Preece | Massage Therapist | 109 Mond St, Ogden, UT 84404-4229 | 2010-05-31 |
| 1588935480 | Nicole Jameson | Massage Therapist | 1140 36th St, Ste#145, Ogden, UT 84403-2050 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305841 | Meagan Elizabeth Coy | Massage Therapist | 76 S Main St Ste 7, Moab, UT 84532-2570 | 2020-10-29 |
| 1073113957 | Chelsy L Henline | Massage Therapist | 983 W Main St Ste G, Vernal, UT 84078-2433 | 2020-10-29 |
| 1649870858 | Devan Hadlock | Massage Therapist | 3324 S Holly Dr Apt 3, Millcreek, UT 84109-2691 | 2020-10-27 |
| 1245847961 | Krystle Renee Moon | Massage Therapist | 1568 W Almond Ln, West Jordan, UT 84088-9223 | 2020-09-27 |
| 1902413099 | Justin Gregory Sommers | Massage Therapist | 2030 E Summer Way, Eagle Mountain, UT 84005-4260 | 2020-09-23 |
| 1578179768 | Landon Otto Jarvies | Massage Therapist | 2254 W 325 S, Mapleton, UT 84664-4312 | 2020-09-22 |
| 1376159798 | Sophia Hanks | Massage Therapist | 1118 Chokeberry Dr, St George, UT 84790-8204 | 2020-09-21 |
| 1184230617 | Kurtis Lee Cook | Massage Therapist | 1414 S 800 W Apt 5-2, Woods Cross, UT 84087-2088 | 2020-09-21 |
| 1841804226 | Nanilia Lara | Massage Therapist | 643 Swenson Ave Apt 2, Springville, UT 84663-2562 | 2020-09-03 |
| 1063026573 | Evelyn Thomas | Massage Therapist | 6166 W 8010 S, West Jordan, UT 84081-4322 | 2020-09-02 |
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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.