Individual
AMELIA FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 E MARKET PLACE DR, SPANISH FORK, UT 84660-1396
(385) 344-5430
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13115215-2401
UT
225100000X
Physical Therapist
4741
NE
Other
Enumeration date
10/18/2023
Last updated
05/01/2025
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