# KAYS CREEK PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326064874
- **Authorized official:** NORDELL E PETERSON P.T. (MANAGER)
- **Authorized official phone:** (801) 397-4340

## Contact information

- **Practice address:** 1425 S 1500 E, CLEARFIELD, UT 84015-1621
- **Practice address phone:** (801) 779-0798
- **Practice address fax:** (801) 779-2798
- **Mailing address:** 1450 S 1500 E, CLEARFIELD, UT 84015-1633
- **Mailing address phone:** (801) 397-4340
- **Mailing address fax:** (801) 397-4390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 51508480144 | UT | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2020