Individual
ELAINE T. LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T
Contact information
Practice address
3220 S STATE ST, SALT LAKE CITY, UT 84115-3836
(801) 463-1101
(801) 463-1197
Mailing address
3220 S STATE ST, SALT LAKE CITY, UT 84115-3836
(801) 463-1101
(801) 463-1197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105876-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870410627
3
UT
Enumeration date
09/03/2006
Last updated
07/08/2007
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