| Micheal Black, LMT | |
|
10358 S Redwood Rd, South Jordan, UT 84095-9339 | |
| (801) 253-3158 | |
| (801) 254-5739 |
| Full Name | Micheal Black |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 10358 S Redwood Rd, South Jordan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760511422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 261943-4701 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Micheal Black, LMT 10358 S Redwood Rd, South Jordan, UT 84095-9339 Ph: (801) 253-3158 | Micheal Black, LMT 10358 S Redwood Rd, South Jordan, UT 84095-9339 Ph: (801) 253-3158 |
Katelyne Beagley, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 11100 S River Heights Dr Apt A118, South Jordan, UT 84095 Phone: 385-290-0123 | |
Evelyn Thomas, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 891 W Baxter Dr, South Jordan, UT 84095 Phone: 801-859-1377 | |
Evan Smith, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10408 1055 W, #201, South Jordan, UT 84095 Phone: 385-526-3385 | |
Kristi Couse, LMT, MMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10679 S 2200 W Apt 2, South Jordan, UT 84095 Phone: 801-660-6290 | |
Fabiola Gomez, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10577 S Redwood Rd., #110, South Jordan, UT 84095 Phone: 385-418-7427 | |
Ms. Charlene Donne Laluk, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4547 Saint Andrews Dr, South Jordan, UT 84095 Phone: 801-615-1598 Fax: 801-282-6026 | |
Brandon Max Waters, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 10408 S 1055 W, South Jordan, UT 84095 Phone: 385-526-3385 |