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Organization
KAYS CREEK PHYSICAL THERAPY
Active
Organization
KAYS CREEK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORDELL E PETERSON P.T. (MANAGER)
(801) 397-4340
Entity
Organization
Contact information
Practice address
1425 S 1500 E, CLEARFIELD, UT 84015-1621
(801) 779-0798
(801) 779-2798
Mailing address
1450 S 1500 E, CLEARFIELD, UT 84015-1633
(801) 397-4340
(801) 397-4390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
51508480144
UT
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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