NPI 1194122663

Luke Tomogiro Matsuda, LAC

Practitioner Acupuncturist Price, UT

Practice location

Address: 894 E 100 N STE 2, Price, UT 84501-2711
Phone: (435) 650-2302

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 9146400-1201 (UT)

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Registry record

NPI: 1194122663
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2014
Record last updated: 29 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.