Individual
MEGAN BRYNN MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 LINDEN LN, BOUNTIFUL, UT 84010-5909
(801) 503-7895
Mailing address
1635 LINDEN LN, BOUNTIFUL, UT 84010-5909
(801) 503-7895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13578674-4701
UT
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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