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Organization
BODY TUNE PHYSICAL THERAPY PC
Active
Organization
BODY TUNE PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORRYN WIESE PT (CEO)
(801) 391-1585
Entity
Organization
Contact information
Practice address
5856 HARRISON BLVD STE A, SOUTH OGDEN, UT 84403-2117
(801) 475-6415
(801) 475-6417
Mailing address
5856 HARRISON BLVD, SUITE A, SOUTH OGDEN, UT 84403-4397
(801) 475-6415
(801) 475-6417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1179052401
UT
Other
Enumeration date
05/01/2007
Last updated
04/22/2020
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