Nick Vanwagoner, LMT

NPI #1598097537 in Lindon, Utah

Provider Information

NPI Number: 1598097537
Entity Type: Individual
Name: Nick Vanwagoner, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Feb 1, 2010
Last Updated: Feb 1, 2010

Practice Location

Address: 643 W 700 N STE C
City: Lindon
State: Utah
ZIP Code: 84042-1366
Phone: (801) 796-0322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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