Individual
PAUL KEKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3459 W 5400 S, ROY, UT 84067-9255
(801) 866-5478
Mailing address
3459 W 5400 S, ROY, UT 84067-9255
(801) 866-5478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8107628-4701
UT
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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