Individual
MR. CASEY J HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW, LMT
Contact information
Practice address
4178 S KIERA HILL LN, SALT LAKE CITY, UT 84107-2743
(385) 377-4411
Mailing address
4178 S KIERA HILL LN, SALT LAKE CITY, UT 84107-2743
(385) 377-4411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7734967-3502
UT
225700000X
Massage Therapist
Primary
7734967-4701
UT
Other
Enumeration date
06/18/2025
Last updated
04/02/2026
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