NPI 1033543038

Bonnie Hyde

Practitioner Massage Therapist Midvale, UT

Practice location

Address: 6717 S 900 E Suite 101, Midvale, UT 84047-5754
Phone: (801) 604-5449

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6302475-4701 (UT)

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Registry record

NPI: 1033543038
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2013
Record last updated: 26 Aug 2013

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.