Individual
CHAD JEFFREY TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3476 W 4600 S, WEST HAVEN, UT 84401-9203
(801) 689-0200
(801) 689-0201
Mailing address
5253 S 6150 W, HOOPER, UT 84315-6702
(801) 985-1878
(801) 689-0201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4088
OR
225100000X
Physical Therapist
Primary
6109493-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6626
—
UT
Enumeration date
11/23/2005
Last updated
04/02/2018
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