Individual
LARRA ELENA MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSI, LMT
Contact information
Practice address
1777 SUN PEAK DR, SUITE 140-B, PARK CITY, UT 84098-6725
(435) 901-0501
Mailing address
571 N 250 W, HEBER CITY, UT 84032-1450
(435) 901-0501
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
5009964-4701
UT
225700000X
Massage Therapist
Primary
5009964-4701
UT
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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