Individual provider · Type 1 NPI
Gloria Denam, MMT
Massage Therapist · Provo, UT
NPI number
1518449529
Active
Practice location
4801 N University Ave Ste 15
Provo, UT 84604-5573
Mailing address
667 Atlantis Dr
Orem, UT 84057-4037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9363135-4701 (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 1518449529
Gloria Denam, MMT's National Provider Identifier is 1518449529, issued on Sep 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Provo, UT. The record was last updated on Sep 5, 2018.