Individual
LAURA CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(415) 308-3678
Mailing address
474 E 7TH AVE, SALT LAKE CITY, UT 84103-3046
(415) 308-3678
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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