Individual
MRS. MAELI MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CFNS
Contact information
Practice address
302N. MAIN ST., KAYSVILLE, UT 84037
(801) 444-3367
Mailing address
302 N MAIN ST, KAYSVILLE, UT 84037-6766
(801) 444-3367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
71622845-4701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61-1597956
—
UT
Enumeration date
01/28/2010
Last updated
01/28/2010
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