Individual
TERI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
485 S 100 E, BOUNTIFUL, UT 84010-4903
(703) 505-5730
Mailing address
2486 S 450 E, BOUNTIFUL, UT 84010-4311
(703) 505-5730
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9634472-4701
UT
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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