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NPI Code Detail

MEDICARE: MRS. AMANDA STEPHENS

MEDICARE: MRS. AMANDA STEPHENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist9883038-4701UT

General Provider Information

NPI Number : 1184511180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMANDA STEPHENS
Provider Business Mailing Address
First Line : 9221 S REDWOOD RD STE B
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-5803
Country : US
Telephone Number : 801-814-4046
Fax Number : 385-325-2226
Provider Business Practice Location Address
First Line : 9221 S REDWOOD RD STE B
Second Line :
City : WEST JORDAN
State : UT
Zip : 84088-5803
Country : US
Telephone Number : 385-290-5896
Fax Number : 385-325-2226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 06/23/2025

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Directions to “ MRS. AMANDA STEPHENS ” Practice Location

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