MEDICARE: HANNAH RODGERS

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
1	225700000X	Massage Therapist	11178513-4701	UT

General Provider Information

NPI Number	:	1568280238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH RODGERS

Provider Business Mailing Address
First Line	:	9693 N 6000 W
Second Line	:
City	:	HIGHLAND
State	:	UT
Zip	:	84003-9102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9693 N 6000 W
Second Line	:
City	:	HIGHLAND
State	:	UT
Zip	:	84003-9102
Country	:	US
Telephone Number	:	801-906-1531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	10/01/2024

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Directions to “ HANNAH RODGERS ” Practice Location

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