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Individual

MITCHELL STORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS

Contact information

Practice address
1179 W PARK LN STE 100, FARMINGTON, UT 84025-3664
(801) 640-5284
(801) 640-5293
Mailing address
PO BOX 711397, SALT LAKE CITY, UT 84171-1397
(801) 942-2729
(801) 908-7488

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10188156-8016
UT

Other

Enumeration date
12/28/2016
Last updated
03/27/2024
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