Individual
MR. KEVIN MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3435 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005-5520
(801) 996-7911
Mailing address
63 E 800 N, SPANISH FORK, UT 84660-1210
(435) 660-9623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12268974-4701
UT
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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