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 1:1660 E MURRAY HOLLADAY RD
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5008
Mailing Address - Country:US
Mailing Address - Phone:801-419-0705
Mailing Address - Fax:801-606-7902
Practice Address - Street 1:1660 E MURRAY HOLLADAY RD
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84117-5008
Practice Address - Country:US
Practice Address - Phone:801-419-0705
Practice Address - Fax:801-606-7902
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10908293-7100175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath