Individual provider · Type 1 NPI
Thayne Jeffrey Shatah, LMT
Massage Therapist · North Salt Lake, UT
NPI number
1336047406
Active
Practice location
640 N Main St Ste 219
North Salt Lake, UT 84054-2198
Mailing address
55 W Utopia Ave Unit 814
South Salt Lake, UT 84115-2596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14200510-4701 (UT) |
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.
Other massage therapist providers in North Salt Lake
About NPI 1336047406
Thayne Jeffrey Shatah, LMT's National Provider Identifier is 1336047406, issued on Oct 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Salt Lake, UT. The record was last updated on Oct 28, 2026.