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Micheal Black, LMT
Massage Therapist in South Jordan, Utah
NPI 1760511422

Micheal Black is a Massage Therapist based in South Jordan, UT. Micheal Black practices in South Jordan, UT and has the professional credentials of LMT. The NPI Number for Micheal Black is 1760511422 and holds a License No. 261943-4701 (Utah).

The current practice location address for Micheal Black is 10358 S Redwood Rd, South Jordan, UT and can be reached out via phone at 801-253-3158 and via fax at 801-254-5739.

Location: 10358 S Redwood Rd, South Jordan, UT, 84095-9339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760511422
Provider Name
Micheal Black
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
10358 S Redwood Rd, South Jordan, UT, 84095-9339
Phone Number
801-253-3158
Fax Number
801-254-5739
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10358 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-9339
Phone Number
801-253-3158
Fax Number
801-254-5739
person
Provider Business Mailing Address Details
Address
10358 S Redwood Rd
City
South Jordan
State
Utah
Zip
84095-9339
Phone Number
801-253-3158
Fax Number
801-254-5739
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
261943-4701 (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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