Healthcare Provider Details

I. General information

NPI: 1316885692
Provider Name (Legal Business Name): MEGAN ADELLE LEMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 S REDWOOD RD STE B
WEST JORDAN UT
84088-5803
US

IV. Provider business mailing address

1265 N REDWOOD RD APT 324
SALT LAKE CITY UT
84116-4715
US

V. Phone/Fax

Practice location:
  • Phone: 801-949-4449
  • Fax: 801-972-0510
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number14101972-4710
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: