Individual provider · Type 1 NPI
Leopoldo Miranda Delatorre, LMT
Massage Therapist · Washington Terrace, UT
NPI number
1487202867
Active
Practice location
5261 Adams Ave Pkwy
Washington Terrace, UT 84405-6748
Mailing address
1702 E 5600 S
South Ogden, UT 84403-4384
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9730693-4701 (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 Washington Terrace
About NPI 1487202867
Leopoldo Miranda Delatorre, LMT's National Provider Identifier is 1487202867, issued on Aug 29, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washington Terrace, UT. The record was last updated on Aug 29, 2019.