Individual
MATTHEW MIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3566 S BAYVIEW DR, SYRACUSE, UT 84075-3704
(801) 628-0306
Mailing address
3566 S BAYVIEW DR, SYRACUSE, UT 84075-3704
(801) 628-0306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9508476-2401
UT
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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