Individual
CATHERINE JEAN PATILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB, CHT
Contact information
Practice address
4149 S 570 E, 18I, SALT LAKE CITY, UT 84107-6539
(801) 864-4545
Mailing address
4149 S 570 E, 18I, SALT LAKE CITY, UT 84107-6539
(801) 864-4545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
372434-4701
UT
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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