Individual
KATHRYN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1430 E 4500 S, SLC, UT 84117-4208
(801) 363-3311
Mailing address
5540 W STONE BLUFF WAY, KEARNS, UT 84118-9274
(801) 651-1229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5217245-2402
UT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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