Individual
JAMI STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 N UNIVERSITY AVE STE 214, PROVO, UT 84601-5006
(801) 368-8849
Mailing address
475 E 400 S, PROVO, UT 84606-4734
(801) 368-8849
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7470694-4701
UT
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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