Individual
SCOTT KEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4434 S HIGHLAND DR, MILLCREEK, UT 84124-3533
(385) 440-1103
Mailing address
4434 S HIGHLAND DR, MILLCREEK, UT 84124-3533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13101784-4701
UT
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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