Leopoldo Miranda Delatorre, LMT

NPI #1487202867 in Washington Terrace, Utah

Provider Information

NPI Number: 1487202867
Entity Type: Individual
Name: Leopoldo Miranda Delatorre, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 29, 2019
Last Updated: Aug 29, 2019

Practice Location

Address: 5261 ADAMS AVE PKWY
City: Washington Terrace
State: Utah
ZIP Code: 84405-6748
Phone: (801) 475-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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