Individual
TAMORA S BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.S, LMT
Contact information
Practice address
2777 N 1450 E, LAYTON, UT 84040-8550
(720) 982-7000
Mailing address
2777 N 1450 E, LAYTON, UT 84040-8550
(720) 982-7000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10295
CO
225700000X
Massage Therapist
Primary
14174661-4701
UT
Other
Enumeration date
01/10/2011
Last updated
09/18/2024
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