Individual
CAROLYN MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1036 S WEST HOYTSVILLE RD, COALVILLE, UT 84017-9764
(435) 336-2845
Mailing address
1036 S WEST HOYTSVILLE RD, COALVILLE, UT 84017-9764
(435) 336-2845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7118375-4701
UT
Other
Enumeration date
09/20/2008
Last updated
09/20/2008
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