Provider Demographics
NPI:1588402416
Name:KROPF, TANNER JOSEF (LMT, BCTMB)
Entity type:Individual
Prefix:
First Name:TANNER
Middle Name:JOSEF
Last Name:KROPF
Suffix:
Gender:M
Credentials:LMT, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 S 9050 W
Mailing Address - Street 2:
Mailing Address - City:MAGNA
Mailing Address - State:UT
Mailing Address - Zip Code:84044-1006
Mailing Address - Country:US
Mailing Address - Phone:435-452-2839
Mailing Address - Fax:
Practice Address - Street 1:715 E 3900 S STE 103
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2570
Practice Address - Country:US
Practice Address - Phone:435-452-2839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11353428-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist