Individual
MADISON SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2295 S FOOTHILL DR STE 1, SALT LAKE CITY, UT 84109
(801) 486-7542
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10837119-2401
UT
Other
Enumeration date
08/10/2018
Last updated
08/14/2018
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