NPI 1336699453
Shea Gifford, LMT
Practice location
- Address
- 193 E Fort Union Blvd STE 203, Midvale, UT 84047-5543
- Phone
- (435) 592-3475
- Mailing address
- 1488 Westbury Way APT H, Lehi, UT 84043-4907
Registered specialties (2)
Massage Therapist
Primary
Massage Therapist
Registry record
- NPI
- 1336699453
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Oct 2016
- Record last updated
- 26 Feb 2023
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.