person
Paul Wirth, CERTROLFER,LMT
Massage Therapist in Salt Lake City, Utah
NPI 1598109134

Paul Wirth is a Massage Therapist based in Salt Lake City, UT. Paul Wirth practices in Salt Lake City, UT and has the professional credentials of CERTROLFER,LMT. The NPI Number for Paul Wirth is 1598109134 and holds a License No. 5587521 (Utah).

The current practice location address for Paul Wirth is 311 S 900 E, Salt Lake City, UT and can be reached out via phone at 801-638-0021.

Location: 311 S 900 E, Salt Lake City, UT, 84102-2490
person
Provider Profile Details
NPI Number
1598109134
Provider Name
Paul Wirth
Credential
CERTROLFER,LMT
Provider Entity Type
Individual
Gender
Male
Address
311 S 900 E, Salt Lake City, UT, 84102-2490
Phone Number
801-638-0021
Fax Number
Provider Enumeration Date
04/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5587521-4701 01 UT MASSAGE THERAPIST LICENSE
401155-00 01 NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
institution
Provider Business Practice Location Address Details
Address
311 S 900 E
City
State
Zip
84102-2490
Phone Number
801-638-0021
Fax Number
person
Provider Business Mailing Address Details
Address
311 S 900 E
City
State
Zip
84102-2490
Phone Number
801-638-0021
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
5587521 (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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