Individual
ALYSSA HITCH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
971 MOUNTAIN WILLOW LN, PARK CITY, UT 84098-4610
(828) 699-4832
Mailing address
971 MOUNTAIN WILLOW LANE, PARK CITY, UT 84098
(828) 699-4832
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
8453211-1201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8453211-1201
UTAH ACUPUNCTURE LICENSE NUMBER
UT
Enumeration date
12/10/2012
Last updated
12/10/2012
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