Individual
TAI LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4885 S 900 E STE 230E, MURRAY, UT 84117-3939
(385) 492-6841
Mailing address
682 ORCHARD DR., BOUNTIFUL, UT 84010-5018
(385) 503-6415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9067727-4701
UT
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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