Individual
HENSEN P KEETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
(801) 487-0896
Mailing address
901 W SPRUCE WILLOW WAY, SOUTH SALT LAKE, UT 84119-6583
(385) 225-1047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11039300-2401
UT
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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