Individual
CANDICE TRIPLETT BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
167 E. HELM AVE. #A, S.L.C, UT 84119
(801) 548-8948
Mailing address
167 E. HELM AVE. #A, S.L.C, UT 84119
(801) 548-8948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7719337-4701
UT
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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