Individual
CASSANDRA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
617 BROADWAY ST STE C, ROCK SPRINGS, WY 82901-6380
(307) 382-8661
Mailing address
15 E 3RD NORTH ST, GREEN RIVER, WY 82935-4207
(307) 389-0505
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11233815-4701
UT
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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