Canyon Gate Massage Therapy and Wellness LLP

NPI #1457850653 in Orem, Utah

Provider Information

NPI Number: 1457850653
Entity Type: Organization
Organization Name: Canyon Gate Massage Therapy and Wellness LLP
Primary Specialty: Massage Therapist
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 1145 E 800 N
City: Orem
State: Utah
ZIP Code: 84097-5401
Phone: (801) 613-0825

Authorized Official

Name: MRS. LISA BREITLING NELL, LMT
Title: PARTNER
Phone: (801) 602-5091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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