Individual
ERIC WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3684 W 5400 S, TAYLORSVILLE, UT 84129-3572
(801) 635-6197
Mailing address
PO BOX 966, WEST JORDAN, UT 84084-0966
(801) 635-6197
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5712746-4701
UT
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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