Individual
GARY WAYNE FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1153 E 3900 S, MILLCREEK, UT 84124-1201
(801) 262-6331
Mailing address
1952 E FT UNION BLVD, SALT LAKE CITY, UT 84121-6877
(801) 495-5234
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5029464-4701
UT
Other
Enumeration date
03/13/2018
Last updated
03/17/2018
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