Individual provider · Type 1 NPI
Cortney Breann Pack, LMT
Massage Therapist · South Jordan, UT
NPI number
1790658201
Active
Practice location
11531 S District Dr Ste 900
South Jordan, UT 84095-5702
Mailing address
10983 S Rasor Dune Dr
South Jordan, UT 84009-4199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 13419165-4701 (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 1790658201
Cortney Breann Pack, LMT's National Provider Identifier is 1790658201, issued on Sep 29, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in South Jordan, UT. The record was last updated on Sep 29, 2025.