Whalio Doctors

NPI 1841887114

Benjamin Misek, MASSAGETHERAPIST

Practitioner Massage Therapist Park City, UT

Practice location

Address
1600 Pinebrook Blvd APT C3, Park City, UT 84098-8279
Phone
(860) 299-5477

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 9783091-4701 (UT)

Registry record

NPI
1841887114
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Dec 2020
Record last updated
21 Dec 2020

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.