Individual
ANTHONY JACE BURBIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
141 S HAWKES CT APT B, SALT LAKE CITY, UT 84102-4232
(801) 867-5485
Mailing address
141 S HAWKES CT APT B, SALT LAKE CITY, UT 84102-4232
(801) 867-5485
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13836129-4701
UT
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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