Organization
ADAMS THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY M ADAMS LMT (LICENSED MASSAGE THERAPIST / OWNER)
(801) 358-4287
Entity
Organization
Contact information
Practice address
1156 S STATE ST STE 105, OREM, UT 84097-8234
(801) 358-4287
Mailing address
1165 S 150 W, OREM, UT 84058-6827
(801) 358-4287
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4877090-4701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9015467-0160
UTAH ENTITY NUMBER
UT
Enumeration date
06/22/2018
Last updated
06/22/2018
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