Individual
MCKENZIE KETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2851
(801) 486-6000
Mailing address
390 CAMPBELL LN NW, HUTCHINSON, MN 55350-1449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12976544-2401
UT
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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