Individual
ELAINA SCOTT GREGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(559) 936-3257
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(559) 936-3257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11055135-2401
UT
225100000X
Physical Therapist
PT295809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11055135-2401
—
UT
05
—
PT295809
—
CA
Enumeration date
12/06/2018
Last updated
12/06/2018
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