Organization
SUMMIT SPA & FLOAT - SPANISH FORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA GUBLER LONG L.M.T. (CO-OWNER/CFO)
(435) 660-9623
Entity
Organization
Contact information
Practice address
63 E 800 N, SPANISH FORK, UT 84660-1210
(435) 660-9623
Mailing address
63 E 800 N, SPANISH FORK, UT 84660-1210
(435) 660-9623
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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