Individual
MATTHEW A WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 COMBE RD, OGDEN, UT 84403
(801) 689-2546
Mailing address
1710 COMBE RD, OGDEN, UT 84403
(801) 689-2546
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8053566-4701
UT
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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