Individual
STACEY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1480 S ORCHARD DR STE 101B, BOUNTIFUL, UT 84010-5161
(801) 458-3701
Mailing address
841 E 5875 S, OGDEN, UT 84405-4997
(801) 458-3701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
117824-4701
UT
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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