Individual
DR. HAYDEN GLEN DATWYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
124 PETERSEN PKWY, THAYNE, WY 83127-9754
(307) 883-7878
Mailing address
655 S 700 E, RIVER HEIGHTS, UT 84321-5632
(435) 760-0048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11803315-2401
UT
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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