Individual
JUDITH KAPLER BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
850 MICHIE LN, MIDWAY, UT 84049-6710
(435) 655-5410
Mailing address
850 MICHIE LN, MIDWAY, UT 84049-6710
(435) 655-5410
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7765002-4701
UT
225700000X
Massage Therapist
MT010626
GA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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