Individual
RONALD C CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCS
Contact information
Practice address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-4011
Mailing address
1389 N 325 E, NEPHI, UT 84648-2231
(435) 623-4011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2797355-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870419324-035
—
UT
Enumeration date
05/11/2007
Last updated
07/08/2007
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