Individual
KONI CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CHES
Contact information
Practice address
5138 W DAY PARK DR, SALT LAKE CITY, UT 84120-2830
(208) 406-8461
Mailing address
PO BOX 13044, OGDEN, UT 84412-3044
(208) 406-8461
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
22637
UT
225700000X
Massage Therapist
Primary
5545539-4701
UT
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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