Whalio Doctors

NPI 1215460340

Brandon Shane Prince

Practitioner Massage Therapist West Valley City, UT

Practice location

Address
2853 S 3200 W, West Valley City, UT 84119-1723
Phone
(423) 458-2588

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 10129011-4701 (UT)

Registry record

NPI
1215460340
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Apr 2017
Record last updated
5 Apr 2017

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.