Individual
KISTI JO CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 647-7015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12121882-2402
UT
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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