Individual provider · Type 1 NPI

Larry Benjamin Bowen

Massage Therapist · Salt Lake City, UT

NPI number 1770487399 Active

Practice location

3330 S 700 E # 128
Salt Lake City, UT 84106-4684

Mailing address

2409 E Katie Lynn Ln
Holladay, UT 84117-6252

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8137472-4701 (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 1770487399

Larry Benjamin Bowen's National Provider Identifier is 1770487399, issued on Oct 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 6, 2026.