Angelina Black, LMT is a
Massage Therapist based in South Salt Lake, Utah. Angelina Black is licensed to practice in Utah (license number 8695543-4701) and her current practice location is
3151 S 400 E Apt 4, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at
(801) 897-2528.
NPI number for Angelina Black is 1629640669 and her current mailing address is 3151 S 400 E Apt 4, South Salt Lake, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629640669.
Healthcare Provider's Profile
Full Name | Angelina Black |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 3151 S 400 E Apt 4, South Salt Lake, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629640669
- Provider Enumeration Date: 07/09/2021
- Last Update Date: 07/09/2021
Medical Identifiers
Medical identifiers for Angelina Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629640669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 8695543-4701 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angelina Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angelina Black, LMT 3151 S 400 E Apt 4, South Salt Lake, UT 84115-4076 Ph: (801) 897-2528 | Angelina Black, LMT 3151 S 400 E Apt 4, South Salt Lake, UT 84115-4076 Ph: (801) 897-2528 |
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