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Chalise Vandermyde, LMT
Massage Therapist in Salt Lake City, Utah
NPI 1205475704

Chalise Vandermyde is a Massage Therapist based in Salt Lake City, UT. Chalise Vandermyde practices in Salt Lake City, UT and has the professional credentials of LMT. The NPI Number for Chalise Vandermyde is 1205475704 and holds a License No. (Utah).

The current practice location address for Chalise Vandermyde is 370 E South Temple Ste 150, Salt Lake City, UT and can be reached out via phone at 801-942-3311.

Location: 370 E South Temple Ste 150, Salt Lake City, UT, 84171-1185
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Provider Profile Details
NPI Number
1205475704
Provider Name
Chalise Vandermyde
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
370 E South Temple Ste 150, Salt Lake City, UT, 84171-1185
Phone Number
801-942-3311
Fax Number
Provider Enumeration Date
12/31/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11334811-4701 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
370 E South Temple Ste 150
City
State
Zip
84111-1279
Phone Number
801-942-3311
Fax Number
person
Provider Business Mailing Address Details
Address
370 E South Temple Ste 150
City
State
Zip
84111-1279
Phone Number
801-942-3311
Fax Number
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Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
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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