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Individual

MR. MARTY NELSON HEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA, ATC-L

Contact information

Practice address
5430 S 1900 W, ROY, UT 84067-2991
(801) 779-9975
(801) 779-2330
Mailing address
1396 MONTEGO PL, HOLLADAY, UT 84117-5092
(801) 440-3228

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2255A2300X
Athletic Trainer
5405724-4810
UT

Other

Enumeration date
04/26/2006
Last updated
02/19/2008
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