Individual
KRISTI COUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
10679 S 2200 W APT 2, SOUTH JORDAN, UT 84095
(801) 660-6290
Mailing address
10679 S 2200 W APT 2, SOUTH JORDAN, UT 84095
(801) 660-6290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9064962-4701
UT
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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