NPI 1174352074

Allen Rose

Practitioner Massage Therapist Clinton, UT

Practice location

Address: 1808 W 1800 N STE a, Clinton, UT 84015-8503
Phone: (801) 217-3133
Fax: (801) 528-5067

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8473658-4701 (UT)

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Registry record

NPI: 1174352074
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2024
Record last updated: 29 Jul 2024

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.