Individual
LAURA HECKROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 W BELLWOOD LN, SALT LAKE CITY, UT 84123-5435
(812) 350-2287
Mailing address
2482 DOUGLAS ST, SALT LAKE CITY, UT 84106
(812) 350-2287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12882220-2401
UT
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/09/2014
Last updated
09/18/2023
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