| Incorporate Massage | |
|
10808 S River Front Pkwy Ste 3054 South Jordan UT 84095-5759 | |
| (800) 556-2950 | |
| Not Available |
| Full Name | Incorporate Massage |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 10808 S River Front Pkwy Ste 3054, South Jordan, Utah |
| Authorized Official Name and Position | Amelia Wilcox (CEO) |
| Authorized Official Contact | 8018913192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Incorporate Massage 10808 S River Front Pkwy Ste 3054 South Jordan UT 84095-5759 Ph: () - | Incorporate Massage 10808 S River Front Pkwy Ste 3054 South Jordan UT 84095-5759 Ph: (800) 556-2950 |
| NPI Number | 1114570280 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570280 | NPI | - | NPPES |
| NA | Other | UT | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
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