Organization
ADVANCED THERAPY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY MARIE SMITH N.C.T.M.B., L.L.C.C (PARTNER)
(801) 380-8480
Entity
Organization
Contact information
Practice address
875 E 530 N, REAR, AMERICAN FORK, UT 84003-1955
(801) 427-8887
(801) 756-3444
Mailing address
875 E 530 N, REAR, AMERICAN FORK, UT 84003-1965
(801) 427-8887
(801) 756-3444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6094910-0160
UT
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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