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General NPI Number Information
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NPI Number | 1003336207
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Entity Type | Organization
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Legal Business Name | DEEP RECOVERY MASSAGE INC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 489 W 2275 N STE B
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City | LAYTON
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State | UT
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Zip | 84041-7471
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Country | US
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Telephone | 801-549-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CHURCH ST TRLR 53
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City | LAYTON
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State | UT
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Zip | 84041-2468
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Country | US
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Telephone | 801-549-8799
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILY FRESHMAN
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Credential | LMT
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Telephone | 801-549-8799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 9641785-4701
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License Number State | UT
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