Individual
ASPEN LORRAINE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W 300 N, LOGAN, UT 84321-3809
(435) 716-8535
Mailing address
294 E 250 S, MENDON, UT 84325-7723
(435) 232-3768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13513951-4701
UT
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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