Leopoldo Miranda Delatorre, LMT is a
Massage Therapist based in Washington Terrace, Utah. Leopoldo Miranda Delatorre is licensed to practice in Utah (license number 9730693-4701) and his current practice location is
5261 Adams Ave Pkwy, Washington Terrace, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 475-7733.
NPI number for Leopoldo Miranda Delatorre is 1487202867 and his current mailing address is 1702 E 5600 S, South Ogden, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487202867.
Healthcare Provider's Profile
Full Name | Leopoldo Miranda Delatorre |
---|
Gender | Male |
---|
Speciality | Massage Therapist |
---|
Location | 5261 Adams Ave Pkwy, Washington Terrace, Utah |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487202867
- Provider Enumeration Date: 08/29/2019
- Last Update Date: 08/29/2019
Medical Identifiers
Medical identifiers for Leopoldo Miranda Delatorre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487202867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 9730693-4701 (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. Leopoldo Miranda Delatorre 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 |
Leopoldo Miranda Delatorre, LMT 1702 E 5600 S, South Ogden, UT 84403-4384 Ph: (801) 689-2546 | Leopoldo Miranda Delatorre, LMT 5261 Adams Ave Pkwy, Washington Terrace, UT 84405-6748 Ph: (801) 475-7733 |
Reviews and Comments