Individual
DARIN ANDREW CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9882
(435) 799-3111
(435) 799-3148
Mailing address
169 N GATEWAY DR, STE 160, PROVIDENCE, UT 84332-9882
(435) 713-9710
(435) 753-8005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62507552401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6937
—
UT
Enumeration date
02/02/2007
Last updated
11/06/2019
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