Individual
NIKKI D EBARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7332 S. 1130 W., WEST JORDAN, UT 84084-3572
(801) 792-0845
Mailing address
7332 SOUTH 1130 WEST, WEST JORDAN, UT 84084-3572
(801) 792-0845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4938324-4701
UT
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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