Individual
LISA R. OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
450 N UNIVERSITY AVE, SUITE 206, PROVO, UT 84601-2860
(801) 810-8348
Mailing address
450 N UNIVERSITY AVE, SUITE 206, PROVO, UT 84601-2860
(801) 810-8348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
77578294701
UT
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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