Individual
MICHELLE GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 W 220 S, OREM, UT 84058-5246
(801) 691-3825
Mailing address
1079 W 220 S, OREM, UT 84058-5246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7857111-2402
UT
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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