Individual
AMY D SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, WCS, CLT
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01572300
NJ
225100000X
Physical Therapist
9902361-2401
UT
Other
Enumeration date
08/16/2016
Last updated
03/26/2020
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