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Individual

KERRIE JANNELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
1059 S 400 E, SALT LAKE CITY, UT 84111-4744
(401) 207-4538
Mailing address
1059 S 400 E, SALT LAKE CITY, UT 84111-4744

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7225537-4701
UT

Other

Enumeration date
07/21/2014
Last updated
07/21/2014
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