Individual
AMANDA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1151 EAST HWY 40, BALLARD, UT 84066
(801) 400-0061
Mailing address
21 E 1700 S, ROOSEVELT, UT 84066-3813
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5889934-4701
UT
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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