NPI 1124745658

Amanda Gordon, LMT

Practitioner Massage Therapist Spanish Fork, UT

Practice location

Address: 63 E 800 N, Spanish Fork, UT 84660-1210
Phone: (435) 660-9623

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7971482-4701 (UT)

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Registry record

NPI: 1124745658
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.