Individual
TYSON WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 W 2200 S, SALT LAKE CITY, UT 84119-1456
(801) 887-5455
Mailing address
1685 W 2200 S, SALT LAKE CITY, UT 84119-1456
(801) 887-5455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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