Organization
THE MASSAGE BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIAN GAPPMAYER SHARP L.M.T. (OWNER)
(801) 228-7634
Entity
Organization
Contact information
Practice address
12 W 100 N, 202C, AMERICAN FORK, UT 84003-1611
(801) 906-3270
Mailing address
12 W 100 N, 202C, AMERICAN FORK, UT 84003
(801) 906-3270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7875506-4701
UT
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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