Provider Demographics
NPI:1902686132
Name:WARD, KAMREE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:KAMREE
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 N 100 E UNIT 102
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-2169
Mailing Address - Country:US
Mailing Address - Phone:801-388-1437
Mailing Address - Fax:
Practice Address - Street 1:14 N 100 E UNIT 102
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-2169
Practice Address - Country:US
Practice Address - Phone:801-388-1437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12338836-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist