Individual
PAUL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
(801) 582-2074
Mailing address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
(801) 582-2074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4872999-4701
UT
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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