Individual
MS. LISA JOAN CROOKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
459 N 300 W STE 13, KAYSVILLE, UT 84037-4204
(801) 390-5472
Mailing address
286 N 2650 E, LAYTON, UT 84040-7452
(801) 390-5472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8871709-4701
UT
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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