Individual
JESS WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMP, LMT
Contact information
Practice address
797 N MURDOCK DR, PLEASANT GROVE, UT 84062-1934
(801) 680-1766
Mailing address
797 N MURDOCK DR, PLEASANT GROVE, UT 84062-1934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13735293-4701
UT
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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