| NPI | 1629746615 |
|---|---|
| Former Legal Business Name | DYNAMIC BODY THERAPY |
| Entity Type | Organization |
| Authorized Contact | LACY MAE JOHNSON Licensed Massage Therapist/Owner 801-643-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |