Individual
LORIE PACKHAM TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
205 N MAIN ST, SPANISH FORK, UT 84660-1726
(801) 888-8149
Mailing address
205 N MAIN ST, SPANISH FORK, UT 84660-1726
(801) 888-8149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
113700-4701
UT
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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