Individual provider · Type 1 NPI
Charles Jarod Candilora, CNMT, LMT
Massage Therapist · Midvale, UT
NPI number
1841456274
Active
Practice location
6844 S 500 E
Midvale, UT 84047-1347
Fax (801) 264-8361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6870286-4701 (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 1841456274
Charles Jarod Candilora, CNMT, LMT's National Provider Identifier is 1841456274, issued on Aug 5, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Midvale, UT. The record was last updated on Jan 12, 2012.