Individual
JASON PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCSI, LMP
Contact information
Practice address
6112 S 1550 E STE 203, SOUTH OGDEN, UT 84405-5010
(801) 897-8710
(801) 475-1795
Mailing address
6112 S 1550 E STE 203, SOUTH OGDEN, UT 84405-5010
(801) 888-0103
(801) 475-1795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
366375-4701
UT
Other
Enumeration date
08/31/2015
Last updated
08/13/2020
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