Individual
KIMBERLY ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5069 W 13400 S STE 100, RIVERTON, UT 84096-6603
(801) 253-8141
Mailing address
13767 S MONTE JOSEPH DR, HERRIMAN, UT 84096-6890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10474887-4701
UT
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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