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PENDER ATHLETIC BRANDS INC. NPI 1487300562


NPI Information

NPI: 1487300562
Provider Name: PENDER ATHLETIC BRANDS, INC.
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
250 RED CLIFFS DR STE 36
ST GEORGE, UT
ZIP 84790
Phone: (540) 300-2626
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PENDER ATHLETIC BRANDS, INC. is a massage therapist in St George, UT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. PENDER ATHLETIC BRANDS, INC. NPI is 1487300562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 RED CLIFFS DR STE 36
ST GEORGE, UT
ZIP 84790-129
Phone: (540) 300-2626

The provider's authorized official is Jason Pender .
The authorized official title is President and has the following contact phone number (931) 896-3234.

The enumeration date for this NPI number is 2/26/2022 and was last updated on 2/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112704436-4701OTHERUTAHMASSAGE THERAPY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.