Individual
NIKKI R. WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1155 E WILMINGTON AVE STE 250, SALT LAKE CITY, UT 84106-7808
(831) 325-4288
Mailing address
1223 E SIERRA WAY, SALT LAKE CITY, UT 84106-2417
(831) 325-4288
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10698822-0151
UT
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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