MEDICARE: MISTY D ALMY LMT

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
1	225700000X	Massage Therapist	7747514-4701	UT

General Provider Information

NPI Number	:	1437967379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISTY D ALMY LMT

Provider Business Mailing Address
First Line	:	1209 W ATHLEEN DR
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-3544
Country	:	US
Telephone Number	:	435-553-9112
Fax Number	:

Provider Business Practice Location Address
First Line	:	4578 S HIGHLAND DR STE 380
Second Line	:
City	:	MILLCREEK
State	:	UT
Zip	:	84117-4204
Country	:	US
Telephone Number	:	801-707-0712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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