Individual
MRS. TERAH KAY CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4568 S HIGHLAND DR STE 150, MILLCREEK, UT 84117-4242
(385) 479-0433
Mailing address
2037 W SPRUCE CREEK LN # B, SOUTH JORDAN, UT 84095-2409
(385) 479-0433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9657703-4701
UT
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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