Individual
KOREY DEROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 N 1200 E STE 103, LEHI, UT 84043-5866
(801) 980-0860
Mailing address
9595 AZTEC DR, CEDAR HILLS, UT 84062-8799
(334) 730-5915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8367449-8016
UT
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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