Individual
DR. TIMMY RYAN THAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
256 N MAIN ST, ALPINE, UT 84004-1476
(801) 768-1441
(801) 705-0333
Mailing address
770 E MAIN ST # 215, LEHI, UT 84043-2293
(801) 768-1441
(801) 705-0333
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
368382-3902
UT
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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