Individual
ELISE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S 900 E, SALT LAKE CITY, UT 84105-3208
(801) 464-7500
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10823746-2401
UT
Other
Enumeration date
05/22/2023
Last updated
11/03/2023
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