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Individual

DR. RICHARD PAGE NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DHSC, ECS

Contact information

Practice address
52 N 1100 E, AMERICAN FORK, UT 84003-2952
(801) 465-6911
(801) 465-1617
Mailing address
498 EAST 10,000 SOUTH, SALEM, UT 84653-1111
(801) 423-1147
(801) 375-2125

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
75-107648-2401
UT
2251E1300X
Clinical Electrophysiology Physical Therapist
75-107648-2401
UT

Other

Enumeration date
04/07/2008
Last updated
04/07/2008
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