Individual
BAILEY MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
284 N HOSPITAL DR, PRICE, UT 84501-4233
(435) 636-4841
Mailing address
PO BOX 731, CASTLE DALE, UT 84513-0731
(435) 553-8216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14195791-2401
UT
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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