NPI 1164887097

Kristine Emanuelson

Practitioner Massage Therapist Provo, UT

Practice location

Address: 280 River Park Dr Suite 240, Provo, UT 84604-5764
Phone: (801) 615-1047
Mailing address: 3738 Little Rock Ln, Provo, UT 84604-5310

Registered specialties (3)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 217972-4701 (UT)

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Dietary Manager

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Health Educator

Other Service Providers Taxonomy 174H00000X Licence 217972-4701 (UT)

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Registry record

NPI: 1164887097
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2015
Record last updated: 5 Jan 2016

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.