Carly Skowron, PHD, LMT

Individual provider Active NPI Massage Therapist · Salt Lake City, UT

NPI 1538945274 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1538945274
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6840702-4701 (UT)
Practice address
835 E 4800 S Ste 210
Salt Lake City, UT 84107-5533
Phone
(512) 202-4737
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6840702-4701UTMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6840702-4701 UT Yes

Addresses

Primary practice location

835 E 4800 S Ste 210
Salt Lake City, UT 84107-5533

Mailing address

893 S 830 E
Orem, UT 84097-4702
Phone (512) 202-4737

Other names

  • Dr. Ravi Aviana Professional name

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Massage Therapist in Utah

Sources for this page

Verify at the official NPI Registry.