Individual
MS. LESSEY HUNT WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
Mailing address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9608462-4701
UT
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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