Individual
AMY SHUCKRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3805
Mailing address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3805
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
53385522401
UT
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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