Individual
TIMOTHY HAACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1138 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2000
Mailing address
2100 E BENGAL BLVD, E302, COTTONWOOD HEIGHTS, UT 84121-7135
(262) 721-7095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8225227-2401
UT
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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