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NPI Code Detail

MEDICARE: LILLIAN SANNETTE WRIGHT

MEDICARE: LILLIAN SANNETTE WRIGHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist13926060-4701UT

General Provider Information

NPI Number : 1851149108
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN SANNETTE WRIGHT
Provider Business Mailing Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-528-5067
Fax Number :
Provider Business Practice Location Address
First Line : 1808 W 1800 N STE A
Second Line :
City : CLINTON
State : UT
Zip : 84015-8503
Country : US
Telephone Number : 801-217-3133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/10/2024

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Directions to “ LILLIAN SANNETTE WRIGHT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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