Individual
KIM CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4816 S 3040 W # NA, TAYLORSVILLE, UT 84129-2510
(801) 918-7067
Mailing address
4816 S 3040 W # NA, TAYLORSVILLE, UT 84129-2510
(801) 918-7067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
291482-2402
UT
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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