Individual
MR. MATTHEW NEIL FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2843
Mailing address
2282 S 2000 E, SALT LAKE CITY, UT 84106-4139
(801) 883-9080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3206442401
UT
Other
Enumeration date
05/09/2008
Last updated
12/06/2021
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