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NPI Code Detail

MEDICARE: VICTORIA KATHLEEN GILLETTE

MEDICARE: VICTORIA KATHLEEN GILLETTE
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 Therapist11774279-4701UT

General Provider Information

NPI Number : 1992491013
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA KATHLEEN GILLETTE
Provider Business Mailing Address
First Line : 2348 KIESEL AVE
Second Line :
City : OGDEN
State : UT
Zip : 84401-1964
Country : US
Telephone Number : 801-528-5066
Fax Number :
Provider Business Practice Location Address
First Line : 2348 KIESEL AVE
Second Line :
City : OGDEN
State : UT
Zip : 84401-1964
Country : US
Telephone Number : 801-528-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 03/19/2026

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Directions to “ VICTORIA KATHLEEN GILLETTE ” Practice Location

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