Individual
LOUISE KNETZGER GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
1107 WOODSIDE AVE, PARK CITY, UT 84060
(435) 901-4212
Mailing address
PO BOX 683000, PARK CITY, UT 84068-3000
(435) 901-4212
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9444443-1201
UT
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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