Organization
WILDE HEART PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILDE PT (OWNER, PHYSICAL THERAPIST)
(801) 824-5424
Entity
Organization
Contact information
Practice address
3333 S 900 E STE 140, MILLCREEK, UT 84106-2211
(801) 824-5424
Mailing address
3333 S 900 E STE 140, MILLCREEK, UT 84106-2211
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5647258-2401
UT
Other
Enumeration date
07/24/2017
Last updated
03/17/2018
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