Individual
NICHOLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 S 400 W, LINDON, UT 84042-1947
(801) 899-3835
Mailing address
513 S 400 W, LINDON, UT 84042-1947
(801) 899-3835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10549502-4701
UT
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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