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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13419165-4701 (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.