Individual
QUINTON WAYNE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3127 E CANYON GLEN LOOP, SPANISH FORK, UT 84660-9355
(385) 254-2084
Mailing address
3127 E CANYON GLEN LOOP, SPANISH FORK, UT 84660-9355
(385) 254-2084
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9600073-4701
UT
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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