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Angelina Black, LMT
Massage Therapist in South Salt Lake, Utah
NPI 1629640669

Angelina Black is a Massage Therapist based in South Salt Lake, UT. Angelina Black practices in South Salt Lake, UT and has the professional credentials of LMT. The NPI Number for Angelina Black is 1629640669 and holds a License No. 8695543-4701 (Utah).

The current practice location address for Angelina Black is 3151 S 400 E Apt 4, South Salt Lake, UT and can be reached out via phone at 801-897-2528.

Location: 3151 S 400 E Apt 4, South Salt Lake, UT, 84115-4076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629640669
Provider Name
Angelina Black
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3151 S 400 E Apt 4, South Salt Lake, UT, 84115-4076
Phone Number
801-897-2528
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3151 S 400 E Apt 4
City
South Salt Lake
State
Utah
Zip
84115-4076
Phone Number
801-897-2528
Fax Number
person
Provider Business Mailing Address Details
Address
3151 S 400 E Apt 4
City
South Salt Lake
State
Utah
Zip
84115-4076
Phone Number
801-897-2528
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
8695543-4701 (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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