NPI 1073102646

Isabelle Larae White, LMT

Practitioner Massage Therapist Kaysville, UT

Practice location

Address: 1246 Flint Meadow Dr, Kaysville, UT 84037-9570
Phone: (619) 738-4403
Mailing address: 1246 Flint Meadow Dr STE 104, Kaysville, UT 84037-9570

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 13427595-4701 (UT)

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Registry record

NPI: 1073102646
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2021
Record last updated: 28 Oct 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.