Individual
MADELINE KATE EKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
4554 FORESTDALE DR UNIT C16, PARK CITY, UT 84098-1392
(435) 494-1336
Mailing address
1156 E 3300 S APT 211, MILLCREEK, UT 84106-4357
(801) 884-9966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
139679782401
UT
Other
Enumeration date
05/07/2024
Last updated
05/21/2024
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