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NPI Code Detail

MEDICARE: THERAPEUTIX OF CLINTON LLC

MEDICARE: THERAPEUTIX OF CLINTON LLC
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 Therapist

General Provider Information

NPI Number : 1356122469
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIX OF CLINTON LLC
Provider Business Mailing Address
First Line : 5898 MAIN POINT BLVD
Second Line :
City : SOUTH OGDEN
State : UT
Zip : 84405-4866
Country : US
Telephone Number : 801-388-7621
Fax Number :
Provider Business Practice Location Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-217-3133
Fax Number : 801-528-5067
Authorized Official
Title or Position : PRESIDENT
Name : CRYSTAL HOPPIE
Credential :
Telephone Number : 801-388-7621
Provider Enumeration Date : 10/13/2023
Last Update Date : 10/13/2023

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Directions to “THERAPEUTIX OF CLINTON LLC ” Practice Location

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