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NPI Code Detail

MEDICARE: MARILYN ESPIL LMT, CMLDT

MEDICARE: MARILYN ESPIL LMT, CMLDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist7330677-4701UT

General Provider Information

NPI Number : 1265207047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN ESPIL LMT, CMLDT
Provider Business Mailing Address
First Line : 7461 S CREEK RD
Second Line :
City : SANDY
State : UT
Zip : 84093-6152
Country : US
Telephone Number : 801-574-7145
Fax Number :
Provider Business Practice Location Address
First Line : 4578 S HIGHLAND DR STE 320
Second Line :
City : MILLCREEK
State : UT
Zip : 84117-4214
Country : US
Telephone Number : 801-574-7145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2023
Last Update Date : 11/21/2023

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Directions to “ MARILYN ESPIL LMT, CMLDT” Practice Location

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