Individual
ISABELLE LARAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1246 FLINT MEADOW DR, KAYSVILLE, UT 84037-9570
(619) 738-4403
Mailing address
1246 FLINT MEADOW DR STE 104, KAYSVILLE, UT 84037-9570
(619) 738-4403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13427595-4701
UT
Other
Enumeration date
01/18/2021
Last updated
10/28/2024
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