Individual provider · Type 1 NPI
Brandon Shane Prince
Massage Therapist · West Valley City, UT
NPI number
1215460340
Active
Practice location
2853 S 3200 W
West Valley City, UT 84119-1723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 10129011-4701 (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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- Samuel Michlesen, LMTMassage Therapist West Valley City, UT NPI 1528708245
- Nathan Moroni ClayMassage Therapist West Valley City, UT NPI 1548083025
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About NPI 1215460340
Brandon Shane Prince's National Provider Identifier is 1215460340, issued on Apr 5, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Valley City, UT. The record was last updated on Apr 5, 2017.