Individual
DOUGLAS KIYOSHI ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2655 W 9000 S, WEST JORDAN, UT 84088-8542
(801) 256-6430
(801) 256-6431
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
366833-2401
UT
Other
Enumeration date
12/22/2005
Last updated
04/04/2024
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