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Individual

KIRK W NEWBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
684 W 800 N, #110, OREM, UT 84057-3658
(801) 224-2250
(801) 224-2655
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4809421-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1137576-005
CIGNA
UT
01
48094212401001
BCBS TRADITIONAL
UT
01
6400700
UNITED HEALTHCARE
UT
01
77716
PEHP
UT
Enumeration date
09/26/2005
Last updated
08/22/2007
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