NPI 1093651044

Carol Lynn Ellis

Practitioner Massage Therapist Eagle Mountain, UT

Practice location

Address: 4309 E Golden Grv, Eagle Mountain, UT 84005-5421
Phone: (503) 586-8462

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14185493-4701 (UT)

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Registry record

NPI: 1093651044
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2026
Record last updated: 23 Apr 2026

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.