Individual
KRISTIANN HENRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
284 N HOSPITAL DR, PRICE, UT 84501-4233
(435) 636-4841
Mailing address
284 N HOSPITAL DR, PRICE, UT 84501-4233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10630232-8016
UT
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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