Individual
KRYSTLE RENEE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1568 W ALMOND LN, WEST JORDAN, UT 84088-9223
(801) 558-8203
Mailing address
1568 W ALMOND LN, WEST JORDAN, UT 84088-9223
(801) 558-8203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7915471-4701
UT
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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