Individual
MADELYN LEYA WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
105 W 300 N, CLEARFIELD, UT 84015-3204
(626) 664-8112
Mailing address
105 W 300 N, CLEARFIELD, UT 84015-3204
(626) 664-8112
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13315866-4701
UT
225700000X
Massage Therapist
MA61393504
WA
Other
Enumeration date
01/19/2023
Last updated
11/17/2025
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