Individual
MICHAEL MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6216 S REDWOOD RD, TAYLORSVILLE, UT 84123-6630
(801) 974-5555
Mailing address
6216 S REDWOOD RD, TAYLORSVILLE, UT 84123-6630
(801) 974-5555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11460218-1202
UT
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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