MICHEAL BLACK

SOUTH JORDAN, UT
NPI1760511422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: UT  261943-4701)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- MICHEAL BLACK L.M.T.
10358 S REDWOOD RD
SOUTH JORDAN, UT 84095-9339
Phone number: 801-253-3158
Mailing Address
-- MICHEAL BLACK L.M.T.
10358 S REDWOOD RD
SOUTH JORDAN, UT 84095-9339
Phone number: 801-253-3158
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