Individual
REBECCA E DANIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3772 S CARLISLE PARK PL, UNIT 1, SOUTH SALT LAKE, UT 84119-7818
(801) 201-3501
Mailing address
3772 S CARLISLE PARK PL, UNIT 1, SOUTH SALT LAKE, UT 84119-7818
(801) 201-3501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9007695-4701
UT
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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