Individual
DONNA LYNN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 W 2250 S, SYRACUSE, UT 84075-9235
(801) 989-6599
Mailing address
1681 N 1450 W, CLINTON, UT 84015-8949
(801) 989-6599
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104658154701
UT
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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