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Individual

ALEX BROUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
655 E 400 S, SPRINGVILLE, UT 84663-2027
(801) 704-9405
(801) 704-9407
Mailing address
388 EASTVIEW DR, ALPINE, UT 84004
(801) 499-6560

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7650433-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7650433-2401
PHYSICAL THERAPIST
UT
Enumeration date
07/05/2013
Last updated
05/19/2015
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