Charles Jarod Candilora, CNMT, LMT Valid NPI

Individual provider · Massage Therapist · Midvale, UT

NPI

1841456274

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

6870286-4701 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-08-05

Last updated

2012-01-12