Individual
KYLE RADANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5555
(801) 501-2133
(801) 501-2254
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12592739-2401
UT
Other
Enumeration date
02/10/2022
Last updated
06/11/2024
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