Individual
CHANDLER SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3045
Mailing address
1352 N 50 E, NEPHI, UT 84648-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7740564-2401
UT
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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