Individual
MS. KRISTY MAHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
145 E 1850 N, OREM, UT 84057-2230
(801) 687-0629
Mailing address
145 E 1850 N, OREM, UT 84057-2230
(801) 687-0629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8900088-4701
UT
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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