Individual
NANCY JANE MCISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB, MMP
Contact information
Practice address
114 E 12450 S, SUITE #204, DRAPER, UT 84020-8058
(801) 576-1220
Mailing address
114 E 12450 S, SUITE #204, DRAPER, UT 84020-8058
(801) 576-1220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
371318-4701
UT
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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