Individual
EVAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
477 W 1780 N, OREM, UT 84057-8548
(385) 224-4193
Mailing address
477 W 1780 N, OREM, UT 84057-8548
(385) 224-4193
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13574903-4701
UT
Other
Enumeration date
01/17/2024
Last updated
11/16/2025
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