Individual
KATHERINE STAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 622-4980
Mailing address
155 S DAVIS BLVD, BOUNTIFUL, UT 84010-1811
(801) 520-4888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
82254122401
UT
Other
Enumeration date
05/22/2012
Last updated
04/23/2019
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