NPI 1568735876

Victor Likhobabin, PHD

Practitioner Massage Therapist Holladay, UT

Practice location

Address: 2180 E 4500 S Suite 235, Holladay, UT 84117-4434
Phone: (801) 274-0462

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 68153624701 (UT)

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Registry record

NPI: 1568735876
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2012
Record last updated: 16 Feb 2012

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.