Individual
NATHAN RICHARD FANKHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
3243 E MARTHAS CV, SANDY, UT 84093-2156
(801) 635-7345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9444452-2401
UT
Other
Enumeration date
07/02/2015
Last updated
10/26/2021
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