IndividualActive
Angelina Black, LMT
NPI 1629640669 · Massage Therapist · South Salt Lake, UT
Provider details
- NPI number
- 1629640669
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8695543-4701 (UT)
Practice location
3151 S 400 E Apt 4
South Salt Lake, UT 84115-4076
Phone: (801) 897-2528
Mailing address
3151 S 400 E Apt 4
South Salt Lake, UT 84115-4076
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.