Healthcare Provider Details

I. General information

NPI: 1184549925
Provider Name (Legal Business Name): VITAL LYMPHATIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 S STATE ST STE 270
OREM UT
84097-8267
US

IV. Provider business mailing address

364 BAYSIDE DR # 270
SARATOGA SPRINGS UT
84045-8149
US

V. Phone/Fax

Practice location:
  • Phone: 801-888-7729
  • Fax:
Mailing address:
  • Phone: 801-888-7729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRYNNLEY PYNE
Title or Position: OWNER
Credential: LMT, MLD-C
Phone: 801-888-7729