Individual
JULIE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8496 S HARRISON ST, MIDVALE, UT 84047-3520
(435) 689-1052
Mailing address
713 W 1300 S, SALT LAKE CITY, UT 84104-1634
(435) 689-1052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6679283-4701
UT
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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