Organization
KFDD PHYSICAL THERAPY & SPORTS MEDICINE CLINIC
Active
Other names
Sports Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS HOLMGREN DAHLBERG P.T. (CORPORATION PRESIDENT, BUSINESS OWN)
(801) 621-8835
Entity
Organization
Contact information
Practice address
2261 KIESEL AVE., SUITE #320, OGDEN, UT 84401-1969
(801) 621-8835
(801) 528-5357
Mailing address
2261 KIESEL AVE., SUITE #320, OGDEN, UT 84401-1969
(801) 621-8835
(801) 528-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
114380-2401
UT
225100000X
Physical Therapist
Primary
115411-2401
UT
2251X0800X
Orthopedic Physical Therapist
114380-2401
UT
2251X0800X
Orthopedic Physical Therapist
115411-2401
UT
Other
Enumeration date
08/31/2006
Last updated
04/17/2012
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