Individual
BRENNA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
150 S 600 E STE 3B, SALT LAKE CITY, UT 84102-1961
(801) 359-5149
Mailing address
6018 BAYSHORE DR, TOOELE, UT 84074-9065
(801) 347-4888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4902733-4701
UT
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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