Individual provider · Type 1 NPI

Shellena Tietjen, LMT

Massage Therapist · Eagle Mountain, UT

NPI number 1548159346 Active

Practice location

3435 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5520

Mailing address

335 S 1100 E
Pleasant Grove, UT 84062-3161

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14137331-4701 (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.

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About NPI 1548159346

Shellena Tietjen, LMT's National Provider Identifier is 1548159346, issued on Jun 28, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle Mountain, UT. The record was last updated on Jul 23, 2026.