Individual provider · Type 1 NPI

Angelina Black, LMT

Massage Therapist · South Salt Lake, UT

NPI number 1629640669 Active

Practice location

3151 S 400 E Apt 4
South Salt Lake, UT 84115-4076

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8695543-4701 (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 1629640669

Angelina Black, LMT's National Provider Identifier is 1629640669, issued on Jul 9, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Salt Lake, UT. The record was last updated on Jul 9, 2021.