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Organization

ON-SITE MASSAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA HENDERSON (OWNER)
(801) 688-1023
Entity
Organization

Contact information

Practice address
1484 N 950 W, LEHI, UT 84043
(801) 688-1023
Mailing address
1484 N 950 W, LEHI, UT 84043-1099
(801) 688-1023

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114589-4701
UT

Other

Enumeration date
12/10/2015
Last updated
12/10/2015
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