Healthcare Provider Details

I. General information

NPI: 1700711702
Provider Name (Legal Business Name): KATHLEEN PITTS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 S 900 E STE 204
MURRAY UT
84117-5746
US

IV. Provider business mailing address

6733 S 1495 E
COTTONWOOD HEIGHTS UT
84121-2725
US

V. Phone/Fax

Practice location:
  • Phone: 385-831-1204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number113205-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: