Individual
MATTHEW OKELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 259-3600
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10934562-2401
DOPL PT LICENSE
UT
Enumeration date
08/10/2018
Last updated
08/10/2018
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