Individual
KIM KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N 850 E, BOUNTIFUL, UT 84010-2501
(801) 694-2325
Mailing address
1212 N 850 E, BOUNTIFUL, UT 84010-2501
(801) 694-2325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4843093-4701
UT
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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