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DR. MATTHEW MARCIANO DPT, PT, CSCS

Sports >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699446302

Individual Registrant:
DR. MATTHEW  MARCIANO DPT, PT, CSCS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
974 W 14420 S STE 5  BLUFFDALE, UT 84065-1630 US
Tel: 773-425-2772  Fax: --

Contact information for business:
5388 W ORION HILLS CV  WEST JORDAN, UT 84081-3971 US
Tel: 773-425-2772  Fax: --

Registration Information:
NPI: 1699446302
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Sports
UT11793400-2401
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
UT11793400-2401
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
UT11793400-2401

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS UT - Page 1



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