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General NPI Number Information
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NPI Number | 1063383875
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH WEST LMT
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 921 E EXECUTIVE PARK DR STE C
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City | MURRAY
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State | UT
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Zip | 84117-3549
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Country | US
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Telephone | 385-831-1204
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Fax |
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Provider Business Mailing Address
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Address Line | 2561 S HIGHLAND DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-2740
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6970119-4701
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License Number State | UT
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