Individual
KURTIS LEE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1414 S 800 W APT 5-2, WOODS CROSS, UT 84087-2088
(808) 727-0717
Mailing address
1414 S 800 W APT 5-2, WOODS CROSS, UT 84087-2088
(808) 727-0717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9861790-4701
UT
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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