Individual
SHANAI OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1592 S 1100 E, SALT LAKE CITY, UT 84105-2454
(801) 706-7381
Mailing address
356 S 900 E APT C, SALT LAKE CITY, UT 84102-2797
(801) 706-7381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8765805-4701
UT
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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