Individual
KAITLIN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 E 5350 S, OGDEN, UT 84405-6931
(801) 479-9855
Mailing address
2611 W 2450 N, CLINTON, UT 84015-8394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
UT
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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