Individual
BRANDON MAX WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10408 S 1055 W, SOUTH JORDAN, UT 84095-1510
(385) 526-3385
Mailing address
4437 S 6000 W, WEST VALLEY CITY, UT 84128-5608
(385) 219-6943
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13712466-4701
UT
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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