NPI 1003668211

Foston Yaeger Chivers, LMT

Practitioner Massage Therapist Midvale, UT

Practice location

Address: 47 E Fort Union Blvd STE 203, Midvale, UT 84047-5507
Phone: (801) 875-9952
Mailing address: 378 E Terra Sol Dr, South Salt Lake, UT 84115-5088

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8427196-4701 (UT)

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Registry record

NPI: 1003668211
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2024
Record last updated: 2 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.