Individual
MS. CHARITY RENEE THAYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1646 RED MOUNTAIN DR, SANTA CLARA, UT 84765-5272
(435) 668-1765
Mailing address
1646 RED MOUNTAIN DR, SANTA CLARA, UT 84765-5272
(435) 668-1765
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12219963-4701
UT
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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