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Foston Yaeger Chivers, LMT Valid NPI

Individual provider · Massage Therapist · Midvale, UT

NPI
1003668211
Type
Individual (Type 1)
Primary specialty
Massage Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225700000X
License number
8427196-4701 (UT)
Sex
Male
Sole proprietor
Yes
Enumerated
2024-04-02
Last updated
2024-04-02
Practice location
47 E Fort Union Blvd Ste 203
Midvale, UT 84047-5507
(801) 875-9952

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