Individual
PENNY H ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., M.M.P.
Contact information
Practice address
881 S OREM BLVD, SUITE 2, OREM, UT 84058-5033
(801) 688-5248
Mailing address
6224 S LOBELIA DR, WEST JORDAN, UT 84081-4001
(801) 688-5248
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5323962-4701
UT
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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