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ELISE MICHELLE TAUTKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-7200
Mailing address
7856 S WOODMAN CT, WEST JORDAN, UT 84088-7843
(801) 856-4942

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11629847-2402
UT

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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