Individual
KADE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2055 N 1450 E, NORTH LOGAN, UT 84341-2086
(435) 363-3732
Mailing address
1492 W ANTELOPE DR, STE 100, LAYTON, UT 84041-1139
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10177153-2401
UT
Other
Enumeration date
02/13/2017
Last updated
08/31/2021
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