Individual
TASIA NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 E 2600 S, CLEARFIELD, UT 84015-1951
(208) 220-5670
Mailing address
132 E 2600 S, CLEARFIELD, UT 84015-1951
(208) 220-5670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10392769-2402
UT
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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