Organization
STRUCTURA BODY THERAPIES, LLC
Active
Parent organization
STRUCTURA HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STRUCTURA HOLDINGS, LLC
Authorized official
MRS. NANCY E. PRINCE L.M.T, S.I.P (MANAGER)
(801) 888-0103
Entity
Organization
Contact information
Practice address
6112 S 1550 E, 203, SOUTH OGDEN, UT 84405-5007
(801) 897-8711
(801) 475-1795
Mailing address
6112 S 1550 E, 203, SOUTH OGDEN, UT 84405-5007
(801) 897-8711
(801) 475-1795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7760739-4701
UT
Other
Enumeration date
07/06/2015
Last updated
12/16/2019
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