Individual
KALIE GLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
194 S VERNAL AVE, VERNAL, UT 84078-2630
(801) 824-8712
Mailing address
194 S VERNAL AVE, VERNAL, UT 84078-2630
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7062233-4701
UT
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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