Individual
ENNIS MCINTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
247 W 2230 N, SUITE 201, PROVO, UT 84604-1587
(903) 949-4178
Mailing address
247 W 2230 N, SUITE 201, PROVO, UT 84604-1587
(903) 949-4178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8840284-4701
UT
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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