IndividualActive
Theodosia Henney, LMT
NPI 1700469574 · Massage Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1700469574
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 12275691-4701 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1811 E Willow Oak Cir
Salt Lake City, UT 84121-2196
Phone: (435) 659-9049
Approximate (ZIP-level) locationGet directions
Mailing address
1811 E Willow Oak Cir
Salt Lake City, UT 84121-2196
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.