Individual
CANDICE L CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
420 E SOUTH TEMPLE STE 240, SALT LAKE CITY, UT 84111-1319
(801) 864-4920
Mailing address
2987 TOWER HILL WAY, WEST VALLEY CITY, UT 84120-5977
(801) 864-4920
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7454905-4701
UT
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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