Individual
MARK A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
885 EAST 9400 SOUTH, SANDY, UT 84094-3670
(801) 562-0066
(801) 562-2124
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1115262401
—
Other
Enumeration date
09/22/2006
Last updated
06/18/2010
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