{
"Npi": {
"NPI": "1114810561",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BARR",
"FirstName": "KALEY",
"MiddleName": "DIANE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BARR",
"OtherFirstName": "SYLVIE",
"OtherMiddleName": "DIANE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "234 1/2 N SPENCER CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALT LAKE CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84103-2514",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-247-8856",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "921 E EXECUTIVE PARK DR STE 921C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MURRAY",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84117-7262",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "385-831-1204",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/02/2025",
"LastUpdateDate": "06/02/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "14210575-4701",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}