Individual
IVAN D THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2198 N 75 W, SUNSET, UT 84015-2550
(801) 589-7291
Mailing address
2198 N 75 W, SUNSET, UT 84015-2550
(801) 589-7291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
286009-4701
UT
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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