Individual
EZEKIAL CRUZ MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
680 E MAIN ST STE 101, LEHI, UT 84043-2251
(801) 768-2723
(801) 768-2725
Mailing address
901 ADAMS ST, AFTON, WY 83110-9621
(307) 885-5811
(307) 885-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9253802-2401
UT
Other
Enumeration date
06/17/2015
Last updated
01/14/2019
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