Individual
COLLEEN NEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1702 E 5600 S, SOUTH OGDEN, UT 84403-4384
(801) 689-2546
Mailing address
1702 E 5600 S, SOUTH OGDEN, UT 84403-4384
(801) 689-2546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3092560-4701
UT
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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