Doctor Name: | JESSICA S KING |
NPI Number: | 1558604314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 6413258-4701 |
Business Practice Address: | 8543 S Redwood Rd Ste A West Jordan, UT - 840889300 |
Business Phone Number: | 8015745283 |
Business Fax Number: | |
Mailing Address: | 8543 S Redwood Rd Ste A, WEST JORDAN |
State: | UT |
Postal Code: | 840889300 |
Phone Number: | 8015745283 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2013 |
NPI Last Update Date: | 04/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 6413258-4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |