Organization
BECOME NOURISHED BY NATURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROCCO (OWNER/LMT)
(801) 750-2811
Entity
Organization
Contact information
Practice address
4646 S HIGHLAND DR, SALT LAKE CITY, UT 84117-5270
(801) 750-2811
Mailing address
4760 S HIGHLAND DR # 149, SALT LAKE CITY, UT 84117-5149
(801) 750-2811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
53765394701
UT
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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