Healthcare Provider Details

I. General information

NPI: 1295653566
Provider Name (Legal Business Name): SUZANNE MARIE SARRO LMT, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 S 500 E STE 15
OGDEN UT
84405-6966
US

IV. Provider business mailing address

5300 S 500 E STE 15
OGDEN UT
84405-6966
US

V. Phone/Fax

Practice location:
  • Phone: 385-389-2095
  • Fax: 385-389-2118
Mailing address:
  • Phone: 385-389-2095
  • Fax: 385-389-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number14191228-4701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: