Individual
ELIZABETH A RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
6440 SOUTH MILLROCK DRIVE, SUITE 175, SALT LAKE CITY, UT 84121
(866) 661-0984
(866) 588-1518
Mailing address
PO BOX 713600, SALT LAKE CITY, UT 84171-3600
(866) 661-0984
(866) 588-1518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017361
PA
Other
Enumeration date
03/14/2006
Last updated
09/17/2007
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