Individual
BONNIE HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6717 S 900 E, SUITE 101, MIDVALE, UT 84047-5754
(801) 604-5449
Mailing address
6717 S 900 E, SUITE 101, MIDVALE, UT 84047-5754
(801) 604-5449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6302475-4701
UT
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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