MR. Stephen Preston Thornock, PTA, LMT

NPI #1497901011 in Draper, Utah

Provider Information

NPI Number: 1497901011
Entity Type: Individual
Name: MR. Stephen Preston Thornock, PTA, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: PTA, LMT
Enumeration Date: Aug 14, 2008
Last Updated: Aug 14, 2008

Practice Location

Address: 219 E 12300 S
City: Draper
State: Utah
ZIP Code: 84020-6970
Phone: (801) 495-4280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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