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Samuel Michlesen, LMT
Massage Therapist in West Valley City, Utah
NPI 1528708245

Samuel Michlesen is a Massage Therapist based in West Valley City, UT. Samuel Michlesen practices in West Valley City, UT and has the professional credentials of LMT. The NPI Number for Samuel Michlesen is 1528708245 and holds a License No. 12740186-4701 (Utah).

The current practice location address for Samuel Michlesen is 3800 W 3500 S Ste B, West Valley City, UT and can be reached out via phone at 801-973-1022.

Location: 3800 W 3500 S Ste B, West Valley City, UT, 84120-3306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528708245
Provider Name
Samuel Michlesen
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3800 W 3500 S Ste B, West Valley City, UT, 84120-3306
Phone Number
801-973-1022
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12741086-4701 01 UT UTAH DIVISION OF PROFESSIONAL LICENSING
institution
Provider Business Practice Location Address Details
Address
3800 W 3500 S Ste B
City
West Valley City
State
Utah
Zip
84120-3306
Phone Number
801-973-1022
Fax Number
person
Provider Business Mailing Address Details
Address
3800 W 3500 S Ste B
City
West Valley City
State
Utah
Zip
84120-3306
Phone Number
801-973-1022
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12740186-4701 (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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