Individual provider · Type 1 NPI
Breanna Fowles, LMT
Massage Therapist · Eden, UT
NPI number
1174458541
Active
Practice location
3632 N Wolf Creek Dr
Eden, UT 84310-1720
Mailing address
PO Box 321
Eden, UT 84310-0321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 14160316-4701 (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.
Other massage therapist providers in Eden
About NPI 1174458541
Breanna Fowles, LMT's National Provider Identifier is 1174458541, issued on Jun 16, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eden, UT. The record was last updated on Jun 16, 2026.