Individual provider · Type 1 NPI

Jenaiya Aelin Ellis Delavega, LMT

Massage Therapist · St. George, UT

NPI number 1124803978 Active

Practice location

348 N Bluff St Ste 104
St. George, UT 84770-5523

Call (360) 631-7567 Map

Mailing address

514 S 1990 E Apt 520
St. George, UT 84790-5086

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA61479402 (WA)
Massage Therapist Primary 225700000X13591986-4701 (UT)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1124803978

Jenaiya Aelin Ellis Delavega, LMT's National Provider Identifier is 1124803978, issued on Aug 30, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. George, UT. The record was last updated on Jul 29, 2024.