Individual
CODY MARTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
901 S OREM BLVD, OREM, UT 84058-5011
(801) 465-5111
Mailing address
901 S OREM BLVD, OREM, UT 84058-5011
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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