NPI 1073206074

Gabrielle Mediano

Practitioner Massage Therapist West Valley City, UT

Practice location

Address: 5057 W Eagle Rock Way, West Valley City, UT 84120-1423
Phone: (801) 634-4904

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 13260579-4701 (UT)

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Registry record

NPI: 1073206074
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2023
Record last updated: 26 May 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.