Individual provider · Type 1 NPI
Michelle Didericksen
Massage Therapist · Layton, UT
NPI number
1245110055
Active
Practice location
1133 N Main St Ste 144
Layton, UT 84041-4848
Mailing address
2197 S 725 E
Clearfield, UT 84015-6239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13271863-4701 (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 1245110055
Michelle Didericksen's National Provider Identifier is 1245110055, issued on Sep 3, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Layton, UT. The record was last updated on Nov 12, 2025.