Individual
LOGAN KARRATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3210 N CANYON RD STE 307, PROVO, UT 84604-6508
(801) 310-5385
(801) 655-9411
Mailing address
3210 N CANYON RD STE 307, PROVO, UT 84604-6508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12054372-4701
UT
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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