KRISTINE EMANUELSON

Massage Therapist

Active Individual
NPI: 1164887097

Practice Address

280 RIVER PARK DR
SUITE 240
Provo, UT 84604

Phone: (801) 615-1047

Specialties

Specialty Code Primary License
Dietary Manager 132700000X No -
Health Educator 174H00000X No 217972-4701 (UT)
Massage Therapist 225700000X Yes 217972-4701 (UT)

Frequently Asked Questions

NPI 1164887097 is the National Provider Identifier for KRISTINE EMANUELSON, a Massage Therapist provider located in Provo, UT. This NPI was enumerated on December 18, 2015.
KRISTINE EMANUELSON practices at 280 RIVER PARK DR, SUITE 240, Provo, UT 84604.

Quick Facts

NPI
1164887097
Type
Individual
Enumerated
Dec 18, 2015
Last Updated
Jan 5, 2016

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