Individual
MR. MICHAEL CRAIG MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1805 E 1730 N, NORTH LOGAN, UT 84341-2184
(435) 752-3544
Mailing address
1805 E 1730 N, NORTH LOGAN, UT 84341-2184
(435) 752-3544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7396457-2401
UT
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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