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NPI Code Detail

MEDICARE: REBECCA A LEWIS SANTTI LMT

MEDICARE:   REBECCA A LEWIS SANTTI  LMT
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 Therapist5341913-4701UT

General Provider Information

NPI Number : 1497056964
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A LEWIS SANTTI LMT
Provider Business Mailing Address
First Line : 3758 MAPLE VIEW DR
Second Line : #23
City : SALT LAKE CITY
State : UT
Zip : 84106-1967
Country : US
Telephone Number : 801-205-5964
Fax Number :
Provider Business Practice Location Address
First Line : 3758 MAPLE VIEW DR
Second Line : #23
City : SALT LAKE CITY
State : UT
Zip : 84106-1967
Country : US
Telephone Number : 801-205-5964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2010
Last Update Date : 11/15/2010

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Directions to “ REBECCA A LEWIS SANTTI LMT” Practice Location

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