PAUL WIRTH (NPI# 1598109134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598109134 |
| Entity Type | Individual |
| Full Name | PAUL WIRTH |
| Credential | CERT. ROLFER, LMT |
| Practice Address |
311 S 900 E Suite 102 Salt Lake City UT 84102-2490 |
| Practice Telephone | 8016380021 |
| Mailing Telephone | 8016380021 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5587521 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MASSAGE THERAPIST LICENSE | 5587521-4701 | 01 |
| NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWOR | 401155-00 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093766412 | Paul B Wirth | Dermatology | 425 Essjay Rd Ste 180, Williamsville, NY 14221 | 2006-05-12 |
| 1053846691 | Paul Joseph Wirth | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2017-04-20 |
| Street Address |
311 S 900 E SUITE 102 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| 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 | 84102 |
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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.