Individual
TABER COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1053 E PRESTON AVE, LAYTON, UT 84040-5777
(719) 661-2075
Mailing address
1053 E PRESTON AVE, LAYTON, UT 84040-5777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13482084-4701
UT
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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