# ASSOCIATION OF LYMPHATIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720322084
- **Authorized official:** MS. GRETCHEN GIVONE L.M.T., C.D.T. (DIRECTOR)
- **Authorized official phone:** (801) 990-1959

## Contact information

- **Practice address:** 11075 S STATE STREET BLDG. \#35, SANDY, UT 84070
- **Practice address phone:** (801) 990-1990
- **Mailing address:** 11075 S STATE STREET BLDG. \#35, SANDY, UT 84070
- **Mailing address phone:** (801) 990-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 278061-2401 | UT | Yes |
| 225700000X | Massage Therapist | 7617767-4701 | UT | — |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 11/26/2012