Individual
BLADIMIR MARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPY
Contact information
Practice address
1849 N 1120 W, PROVO, UT 84604-1180
(801) 960-8789
Mailing address
124 W 1435 S, OREM, UT 84058-7467
(908) 838-2092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11343515-4701
UT
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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