Individual
KASEY EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-2880
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11690251-2401
UT
225100000X
Physical Therapist
PT-6993
ID
Other
Enumeration date
05/18/2020
Last updated
04/04/2024
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