Individual
ELYSE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
416 N STATE ROAD 198, SALEM, UT 84653-4605
(801) 423-8600
Mailing address
129 WYMOUNT TER, PROVO, UT 84604-1924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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