Individual
NAOMI MACKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4988 W WOOD RANCH DR, SOUTH JORDAN, UT 84009-1532
(801) 419-3478
Mailing address
4988 W WOOD RANCH DR, SOUTH JORDAN, UT 84009-1532
(801) 419-3478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8624046-4701
UT
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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