=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457213308
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMBER MICHELLE ARTINGER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2025
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14647 S PORTER ROCKWELL BLVD
-----------------------------------------------------
City | BLUFFDALE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84065-1944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-970-1808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9183 S MORNING LILY CT
-----------------------------------------------------
City | WEST JORDAN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84081-6120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-970-1808
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 13569928-4701
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------