Individual
EVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10408 1055 W, #201, SOUTH JORDAN, UT 84095
(385) 526-3385
Mailing address
1887 N 3410 W APT K303, LEHI, UT 84043-6993
(509) 307-1582
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
UT
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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