Individual
CHANTEL MITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 EXPRESSWAY LN, SPANISH FORK, UT 84660-1300
(801) 794-0333
Mailing address
3794 E 3600 N, LIBERTY, UT 84310-9506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9469602-2401
UT
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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