Individual
DAKOTA WENDEL HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1157 N 300 W STE 211, PROVO, UT 84604-6124
(801) 357-1250
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14124870-2401
UT
Other
Enumeration date
09/09/2024
Last updated
11/27/2024
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