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Individual

MATTHEW DAVID SIMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
370 S 300 E, SALT LAKE CITY, UT 84111-3370
(603) 340-1407
Mailing address
1208 S LAKE ST, SALT LAKE CITY, UT 84105-1222
(603) 340-1407

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12923502-4701
UT

Other

Enumeration date
05/03/2024
Last updated
05/03/2024
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