Individual
DEREK RAY ELLGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1050 S MEDICAL DR STE A, MOUNT PLEASANT, UT 84647-2200
(435) 462-0178
(435) 462-5252
Mailing address
PO BOX 396, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10448742-2401
UT
Other
Enumeration date
07/19/2017
Last updated
03/17/2018
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