MEDICARE: JEFFREY DAVID KAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	7957851-4701	UT

General Provider Information

NPI Number	:	1306716931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY DAVID KAY

Provider Business Mailing Address
First Line	:	8083 N RIDGE LOOP E APT 1
Second Line	:
City	:	EAGLE MOUNTAIN
State	:	UT
Zip	:	84005-4649
Country	:	US
Telephone Number	:	801-599-2294
Fax Number	:

Provider Business Practice Location Address
First Line	:	4568 S HIGHLAND DR STE 150
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4242
Country	:	US
Telephone Number	:	801-599-2294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2025
Last Update Date	:	11/19/2025

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