Individual
CHASE BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9425 S RIVERSIDE DR APT 117, SANDY, UT 84070-6512
(385) 208-8776
Mailing address
9425 S RIVERSIDE DR APT 117, SANDY, UT 84070-6512
(385) 208-8776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12286064-4701
UT
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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