Individual
KISHA GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 779-2620
Mailing address
2367 N 300 W, SUNSET, UT 84015-3401
(385) 319-2183
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8464719-4701
UT
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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