Individual
GRACIE KAY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S 400 E, BOUNTIFUL, UT 84010-4932
(385) 399-7800
Mailing address
350 S 400 E, BOUNTIFUL, UT 84010-4932
(801) 631-6994
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13389605-4003
UT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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