Doctor Name: | AUGUST CAPRI QUAIFE |
NPI Number: | 1629475967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MOTR/L, LMT |
License Number: | 5044485-4701 |
Business Practice Address: | 9384 S 670 W Sandy, UT - 840706667 |
Business Phone Number: | 8004729515 |
Business Fax Number: | 8014470107 |
Mailing Address: | Po Box 95602, SOUTH JORDAN |
State: | UT |
Postal Code: | 840950602 |
Phone Number: | 8004729515 |
Fax Number: | 8014470107 |
NPI Enumeration Date: | 12/02/2014 |
NPI Last Update Date: | 09/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5044485-4701 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |