Individual
CATHERINE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
55 W 1950 S, BOUNTIFUL, UT 84010-5532
(360) 628-7822
Mailing address
55 W 1950 S, BOUNTIFUL, UT 84010-5532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8230877-4701
UT
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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