Individual
STACEY LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4035 S 500 E, MURRAY, UT 84107-1866
(801) 262-9181
Mailing address
4035 S 500 E, MURRAY, UT 84107-1866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9321560-2402
UT
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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