Individual provider · Type 1 NPI
Brandon Max Waters
Massage Therapist · South Jordan, UT
NPI number
1487424354
Active
Practice location
10408 S 1055 W
South Jordan, UT 84095-1510
Mailing address
4437 S 6000 W
West Valley City, UT 84128-5608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13712466-4701 (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 1487424354
Brandon Max Waters's National Provider Identifier is 1487424354, issued on Jan 3, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Jordan, UT. The record was last updated on Jan 3, 2024.