Individual provider · Type 1 NPI

Kaitlyn Lake

Massage Therapist · Layton, UT

NPI number 1649802919 Active

Practice location

761 W Antelope Dr
Layton, UT 84041-1630

Call (801) 779-2620 Map

Mailing address

1080 S 1500 E Apt 26
Clearfield, UT 84015-1516

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8986796-4701 (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 1649802919

Kaitlyn Lake's National Provider Identifier is 1649802919, issued on Feb 5, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Layton, UT. The record was last updated on Feb 5, 2020.