Individual
ANDREW FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10156968-2401
UT
Other
Enumeration date
12/16/2016
Last updated
06/08/2023
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