NPI 1023376019

Melissa Grundvig, LMT

Practitioner Massage Therapist Kaysville, UT

Practice location

Address: 699 S Angel St, Kaysville, UT 84037-9756
Phone: (801) 444-1298

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6588630-4701 (UT)

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Registry record

NPI: 1023376019
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2012
Record last updated: 26 Apr 2012

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.