Individual
CAROLYN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, BSC
Contact information
Practice address
1961 E REDONDO AVE, SALT LAKE CITY, UT 84108-3119
(435) 655-1703
Mailing address
1961 E REDONDO AVE, SALT LAKE CITY, UT 84108-3119
(435) 655-1703
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
225700000X
Massage Therapist
6789138-4701
UT
Other
Enumeration date
03/24/2013
Last updated
03/22/2024
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