NPI 1487986030

Larra Elena Murdock, CSILMT

Practitioner Massage Therapist Park City, UT

Practice location

Address: 1777 Sun Peak Dr Suite 140-B, Park City, UT 84098-6725
Phone: (435) 901-0501
Mailing address: 571 N 250 W, Heber City, UT 84032-1450

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 5009964-4701 (UT)

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Mechanotherapist

Other Service Providers Taxonomy 172M00000X Licence 5009964-4701 (UT)

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Registry record

NPI: 1487986030
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2010
Record last updated: 8 Feb 2010

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.