IndividualActive
Benjamin Misek, MASSAGE THERAPIST
NPI 1841887114 · Massage Therapist · Park City, UT
Provider details
- NPI number
- 1841887114
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9783091-4701 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1600 Pinebrook Blvd Apt C3
Park City, UT 84098-8279
Phone: (860) 299-5477
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Pinebrook Blvd Apt C3
Park City, UT 84098-8279
Registry dates
- Enumerated
- 2020-12-21
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.