NPI 1447646633

Ennis McIntier

Practitioner Massage Therapist Provo, UT

Practice location

Address: 247 W 2230 N Suite 201, Provo, UT 84604-1587
Phone: (903) 949-4178

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8840284-4701 (UT)

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Registry record

NPI: 1447646633
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2015
Record last updated: 14 Apr 2015

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.