Individual
DONATA TRUSSELL-VIAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
(801) 826-7209
Mailing address
6517 S SAWTOOTH CIR, TAYLORSVILLE, UT 84129-6821
(801) 915-4160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
272664-2401
UT
2251P0200X
Pediatric Physical Therapist
272664-2401
UT
Other
Enumeration date
01/05/2007
Last updated
05/25/2022
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