Individual
DOUGLAS SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
524 E 800 N, OGDEN, UT 84404-3600
(801) 782-3740
Mailing address
3031 N 1300 E, NORTH OGDEN, UT 84414-1817
(801) 781-0651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4929944-2401
UT
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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