Individual
MR. DOUGLAS J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
520 WAKARA WAY, SUITE 302, SALT LAKE CITY, UT 84108-1213
(801) 587-9161
(801) 587-7607
Mailing address
520 WAKARA WAY, SUITE 302, SALT LAKE CITY, UT 84108-1213
(801) 587-9161
(801) 587-7607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
274748-2401
UT
Other
Enumeration date
08/04/2006
Last updated
12/03/2021
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