Stacy Neal, LMT
Massage Therapist in Draper, UT. Individual provider (NPI-1).
NPI number1497344980
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1497344980
- Entity type
- Individual (NPI-1)
- Name
- Stacy Neal
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2021
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 10882494-4701 | UT | Yes |
Practice location
14746 S Alpine Peak DrDraper, UT 84020-1506
Phone 385-414-2151
Mailing address
14746 S Alpine Peak DrDraper, UT 84020-1506
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