Individual
MICHELLE ANUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1420 500 W, SALT LAKE CITY, UT 84115
(909) 262-4854
Mailing address
5663 W RED RIDGE LN, SALT LAKE CITY, UT 84118-5004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13423904-2401
UT
225100000X
Physical Therapist
3985
NV
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
02/02/2018
Last updated
08/15/2023
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