Individual
SAMUEL MATHIAS WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
63 E 800 N, SPANISH FORK, UT 84660-1210
(435) 660-9623
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
11224417-4701
UT
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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