Individual
DANIEL STAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
992 COBBLESTONE DR, HEBER CITY, UT 84032-3974
(801) 602-5384
Mailing address
992 COBBLESTONE DR, HEBER CITY, UT 84032-3974
(801) 602-5384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
339794-2401
UT
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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