Individual provider · Type 1 NPI
Madelyne Kaye Porter
Massage Therapist · South Ogden, UT
NPI number
1336790146
Active
Practice location
1893 E Skyline Dr Ste 204
South Ogden, UT 84403-5228
Mailing address
4339 S 2350 W
Roy, UT 84067-2013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9505343-4701 (UT) |
| Massage Therapist | 225700000X | 148704 (AK) |
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 1336790146
Madelyne Kaye Porter's National Provider Identifier is 1336790146, issued on Sep 23, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Ogden, UT. The record was last updated on May 28, 2026.