Individual
SHONTAI MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3855 S 700 E, SALT LAKE CITY, UT 84106-1157
(801) 268-4766
Mailing address
3855 S 700 E, SOUTH SALT LAKE, UT 84106-1157
(801) 268-4766
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
14219499-4003
UT
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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