Individual
AMANDA VAN VALKENBURG-THORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
626 N 1000 W, SAINT GEORGE, UT 84770-5000
(801) 638-8525
Mailing address
9506 S ALBION CIR, SANDY, UT 84092-3025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7496761-4701
UT
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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