Individual
MS. CLYBE LILY LUFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4593
Mailing address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4593
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7436104-2402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621795214
—
UT
Enumeration date
03/05/2013
Last updated
03/05/2013
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