Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Lynn Ellis

Individual provider Massage Therapist · NPI 1093651044

Carol Lynn Ellis is a Massage Therapist in Eagle Mountain, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

4309 E Golden Grv
Eagle Mountain, UT 84005-5421
Phone: (503) 586-8462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 14185493-4701 (UT)

Record details

NPI number1093651044
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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