Individual
DANIEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1419 S 1300 E, SALT LAKE CITY, UT 84105-2547
(801) 884-3524
Mailing address
1419 S 1300 E, SALT LAKE CITY, UT 84105-2547
(801) 884-3524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9700599-4701
UT
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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