Individual
BROOKE CHRISTINE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 W 1050 S, SPRINGVILLE, UT 84663-6092
(385) 208-0688
Mailing address
714 W 1050 S, SPRINGVILLE, UT 84663-6092
(385) 208-0688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12222521-4701
UT
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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