NPI 1104543636

Crystal Larsen, LMT

Practitioner Massage Therapist Eagle Mountain, UT

Practice location

Address: 3435 E Pony Express Pkwy STE 120, Eagle Mountain, UT 84005-5520
Phone: (801) 996-7911
Mailing address: 63 E 800 N, Spanish Fork, UT 84660-1210

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8124095-4701 (UT)

Other Massage Therapist providers in Utah →

Registry record

NPI: 1104543636
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Oct 2022
Record last updated: 25 Oct 2022

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.