Provider Demographics
NPI:1013328830
Name:POSTMA, SHAWN (NMD)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:
Last Name:POSTMA
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2258 E FORT UNION BLVD STE B6
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-4631
Mailing Address - Country:US
Mailing Address - Phone:801-340-3040
Mailing Address - Fax:888-398-9587
Practice Address - Street 1:2258 E FORT UNION BLVD STE B6
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-4631
Practice Address - Country:US
Practice Address - Phone:801-340-3040
Practice Address - Fax:888-398-9587
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10908293-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath