Individual
ROBERT RICHARD GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
974 W 14420 S STE 7, BLUFFDALE, UT 84065-1629
(801) 792-0578
Mailing address
3211 S DEER CANYON DR, SARATOGA SPRINGS, UT 84045-5522
(801) 792-0578
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5614659-4701
UT
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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