Evan Smith

NPI #1205531977 in South Jordan, Utah

Provider Information

NPI Number: 1205531977
Entity Type: Individual
Name: Evan Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Apr 3, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 10408 1055 W
Address 2: #201
City: South Jordan
State: Utah
ZIP Code: 84095
Phone: (385) 526-3385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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