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SHEA GIFFORD LMT
NPI 1336699453
Massage Therapist in Midvale, UT

Active since October 12, 2016
193 E FORT UNION BLVD STE 203, MIDVALE, UT 84047(435) 592-3475 Get Directions Write a Review

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 26, 2023, Oct 12, 2016 (2 updates tracked since 2016).

About Shea Gifford Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEA GIFFORD LMT (NPI 1336699453) is an individual massage therapist in Midvale, Utah, licensed in Utah (8269416-4701) and active in the NPI registry since October 2016. He maintains a secondary practice location in Rexburg.

NPPES Registry Identity

NPI1336699453
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSHEA GIFFORDCredential: LMT
Location Address193 E FORT UNION BLVD STE 203Midvale, UT 84047-5543
Mailing Address1488 Westbury Way Apt HLehi, UT 84043-4907 · (435) 592-3475
Phone(435) 592-3475
Sole ProprietorYes
Enumeration DateOctober 12, 2016
Last NPPES UpdateFebruary 26, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1336699453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in UT · 8269416-4701✔ Licensed in ID · MAS-2844
Definition
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.
193 E FORT UNION BLVD STE 203, Midvale, UT 84047
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Secondary Practice Location 1

Location 132 Carlson AveRexburg, ID 83440-1914 · Phone (208) 557-3516 · Fax (208) 549-7575

Other Identifiers 2

OtherMAS-2844ID · State License
Other8269416-4701UT · State License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPACT HEALTH & WELLNESS LLC
Physical Medicine & Rehabilitation (Pain Medicine)
193 E FORT UNION BLVD STE 203
MIDVALE, UT 84047
Salt Lake County (801) 568-1598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shea Gifford's NPI number?

The NPI number for Shea Gifford is 1336699453. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Shea Gifford located?

Shea Gifford practices at 193 E Fort Union Blvd Ste 203, Midvale, UT 84047. The listed phone number is (435) 592-3475.

What is Shea Gifford's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Shea Gifford was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.