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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13271863-4701 (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.