# ISHA RECOVERY AND SCULPT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Isha Esthetics LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821809765
- **Authorized official:** TENISHA HICKS CMA (OWNER)
- **Authorized official phone:** (385) 275-5765

## Contact information

- **Practice address:** 1770 E FT UNION BLVD STE 101, COTTONWOOD HEIGHTS, UT 84121-2881
- **Practice address phone:** (385) 275-5765
- **Mailing address:** 1770 E FT UNION BLVD STE 101, COTTONWOOD HEIGHTS, UT 84121-2881
- **Mailing address phone:** (385) 275-5765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/20/2025