Individual
CAROLINE MCCLEERY VIXAYSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
6272 S HIGHLAND DR STE 203, MURRAY, UT 84121-2126
(801) 871-6350
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11881200-2401
UT
2255A2300X
Athletic Trainer
11881200-4810
UT
Other
Enumeration date
07/22/2020
Last updated
04/30/2025
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