Individual
ALEXA LENNON ARDENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1565 E 3300 S, SALT LAKE CITY, UT 84106-3370
(801) 842-7299
Mailing address
1565 E 3300 S, SALT LAKE CITY, UT 84106-3370
(801) 842-7299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5922923-4701
UT
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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