Organization
LIGHT ENERGY LLC
Active
Other names
Christina Leavitt
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA A. LEAVITT LMT (LICENSED MASSAGE THERAPIST)
(801) 529-6033
Entity
Organization
Contact information
Practice address
4125 N 3250 W APT 4C, LEHI, UT 84043-4574
(801) 529-6033
Mailing address
4125 N 3250 W APT 4C, LEHI, UT 84043-4574
(801) 529-6033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7816855-4701
UT
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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