Individual
MICHAEL ROBERT FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1386 E 100 S, SUITE F, ST GEORGE, UT 84790-2141
(435) 215-3480
Mailing address
1386 E 100 S, SUITE F, ST GEORGE, UT 84790-2141
(435) 215-3480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6366483-4701
UT
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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