Brian Godfrey, MT

NPI #1730932484 in Midvale, Utah

Provider Information

NPI Number: 1730932484
Entity Type: Individual
Name: Brian Godfrey, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: 7591 S UNION PARK AVE APT D312
City: Midvale
State: Utah
ZIP Code: 84047-2985
Phone: (801) 618-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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