| Miranda L Devine, LMT | |
|
1710 E. 5600 S., Ogden, UT 84403-4384 | |
| (801) 689-2546 | |
| Not Available |
| Full Name | Miranda L Devine |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1710 E. 5600 S., Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699495556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 12925233-4701 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda L Devine, LMT 1710 E. 5600 S., Ogden, UT 84403-4384 Ph: (801) 689-2546 | Miranda L Devine, LMT 1710 E. 5600 S., Ogden, UT 84403-4384 Ph: (801) 689-2546 |
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