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Individual

STACY NEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
14746 S ALPINE PEAK DR, DRAPER, UT 84020-1506
(385) 414-2151
Mailing address
14746 S ALPINE PEAK DR, DRAPER, UT 84020-1506

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10882494-4701
UT

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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