Most Relevant Information
Provider Data
| NPI Number: | 1003694134 |
| Provider Name: | BROOKE ALLISON EDDE LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 8986754-4701 |
Most Important Dates
| Enumeration Date: | 09/19/2023 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
4885 S 900 E STE 201A
SALT LAKE CITY
UT
841173907
Practice Location Phone/Fax
| Phone: | 8016449104 |
| Fax: |
Provider Mailing Location
4578 S WOODDUCK LN
MILLCREEK
UT
841174117
Provider Mailing Phone/Fax
| Phone: | 1801644910 |
| Fax: |