Individual
KELSIE LENNA WIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4587 W CEDAR HILLS DR STE 110, CEDAR HILLS, UT 84062-8827
(801) 406-6943
Mailing address
10165 N 6960 W, HIGHLAND, UT 84003-9223
(801) 425-5268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14202060-2402
UT
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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