Individual
TEGAN PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7090
Mailing address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8558945-4701
UT
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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