| NPI | 1730625609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA RACHELLE MAIN Massage Therapist 801-414-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 63903914701) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |