Individual provider · Type 1 NPI

Gwen Juvenal, LMT

Massage Therapist · Murray, UT

NPI number 1861310161 Active

Practice location

921 E Executive Park Dr Ste C
Murray, UT 84117-3549

Mailing address

2606 W Kamas Dr
Taylorsville, UT 84129-2015

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6837811-4701 (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 1861310161

Gwen Juvenal, LMT's National Provider Identifier is 1861310161, issued on Jul 7, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Murray, UT. The record was last updated on Jul 7, 2026.