NPI | 1982858460 |
---|---|
Former Legal Business Name | PALMER'S CORPORATE MASSAGE LLC |
Entity Type | Organization |
Authorized Contact | TIFFANY PALMER PEDERSEN Licensed Massage Therapist/ Owner 801-830-4756 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 5274005-4701) |
Enumeration Date | 2008-11-10 |
Last Update Date | 2008-11-10 |