Individual
MRS. JESSIKA ANNE THURGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5069 W 13400 S, SUITE 100, RIVERTON, UT 84096
(801) 449-0160
Mailing address
13441 S DRAGONFLY LN #107, RIVERTON, UT 84096
(801) 449-0160
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8064616-4701
UT
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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