Individual
SARA BEAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS, ATC, LAT
Contact information
Practice address
1840 S 1300 E, SALT LAKE CITY, UT 84105-3617
(801) 832-2369
Mailing address
3070 S 900 E, SALT LAKE CITY, UT 84106-2163
(801) 830-0188
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6323994-4810
UT
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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