Individual
BART GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SLC, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, SLC, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5099102-2401
UT
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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