Individual
RYAN MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
5270 S ROME BEAUTY PARK, MURRAY, UT 84123-4504
(385) 232-9234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12178095-4102
UT
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
05/31/2016
Last updated
05/24/2022
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