Individual
MADISON KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5471 EAST 2300 NORTH, SUITE 1, EDEN, UT 84310
(801) 745-3200
(801) 745-6115
Mailing address
1421 N 7275 E, HUNTSVILLE, UT 84317-9615
(801) 745-3200
(801) 745-6115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14238918-4701
UT
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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