NPI 1407596059

Fabiola Gomez

Practitioner Massage Therapist South Jordan, UT

Practice location

Address: 10577 S Redwood Rd. #110, South Jordan, UT 84095
Phone: (385) 418-7427
Mailing address: 3477 W 6825 S, West Jordan, UT 84084-1719

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 9796906-4701 (UT)

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Registry record

NPI: 1407596059
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 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.