Theraputic Spa, LLC

NPI #1518197748 in Farmington, Utah

Provider Information

NPI Number: 1518197748
Entity Type: Organization
Organization Name: Theraputic Spa, LLC
Primary Specialty: Respite Care
Enumeration Date: Jul 22, 2009
Last Updated: Jul 22, 2009

Practice Location

Address: 630 SHEPARD LN STE 102
City: Farmington
State: Utah
ZIP Code: 84025-3934
Phone: (801) 447-8680

Authorized Official

Name: LISA LARSON, LMT
Title: MANAGER
Phone: (801) 447-8680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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