NPI 1003694134

Brooke Allison Edde, LMT

Practitioner Massage Therapist Salt Lake City, UT

Practice location

Address: 4885 S 900 E STE 201a, Salt Lake City, UT 84117-3907
Phone: (801) 644-9104
Mailing address: 4578 S Woodduck Ln, Millcreek, UT 84117-4117

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8986754-4701 (UT)

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Registry record

NPI: 1003694134
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2023
Record last updated: 19 Sep 2023

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.