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Kaitlyn Shyanne Wininger, LMT
Massage Therapist in Holladay, Utah
NPI 1023623196

Kaitlyn Shyanne Wininger is a Massage Therapist based in Clearfield, UT. Kaitlyn Shyanne Wininger practices in Holladay, UT and has the professional credentials of LMT. The NPI Number for Kaitlyn Shyanne Wininger is 1023623196 and holds a License No. 8457613-4701 (Utah).

The current practice location address for Kaitlyn Shyanne Wininger is 2180 E 4500 S, Holladay, UT and can be reached out via phone at 801-592-6588.

Location: 2180 E 4500 S, Holladay, UT, 84015-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023623196
Provider Name
Kaitlyn Shyanne Wininger
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2180 E 4500 S, Holladay, UT, 84015-1618
Phone Number
801-592-6588
Fax Number
Provider Enumeration Date
09/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
177635649 01 UT DRIVER'S LICENSE
9807712-0160 01 UT BUSINESS ENTITY NUMBER
institution
Provider Business Practice Location Address Details
Address
2180 E 4500 S
City
Holladay
State
Utah
Zip
84117-4434
Phone Number
801-592-6588
Fax Number
person
Provider Business Mailing Address Details
Address
2180 E 4500 S
City
Holladay
State
Utah
Zip
84117-4434
Phone Number
801-592-6588
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8457613-4701 (Utah)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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