Individual
MAXINE IRENE MAXWELL-KITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1133 N MAIN ST STE 123, LAYTON, UT 84041-4830
(801) 499-6344
Mailing address
2220 E 3205 S, MILLCREEK, UT 84109-2615
(801) 499-6344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5137162-4701
UT
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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