Individual
KIM WAYNE REID
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, STE 350, BOUNTIFUL, UT 84010-7667
(801) 295-3553
(801) 295-3599
Mailing address
1551 RENAISSANCE TOWNE DR, STE 350, BOUNTIFUL, UT 84010-7667
(801) 295-3553
(801) 295-3599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
118932-2401
UT
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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