Individual
MEGAN GRACE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 E FORT UNION BLVD STE 101, SALT LAKE CITY, UT 84121-2868
(385) 526-3925
Mailing address
14627 S BONNIE JEAN LN, HERRIMAN, UT 84096-1239
(385) 321-3631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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