Individual
LAUREN ZIAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, ATC, AIB-VR
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8324399-8016
UT
2255A2300X
Athletic Trainer
01997
MA
2255A2300X
Athletic Trainer
8324399-4810
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000089211
MEDICARE PTAN
UT
Enumeration date
06/24/2009
Last updated
12/08/2018
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