Individual
COLTON SAMUELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4624 S HOLLADAY BLVD STE 2, SALT LAKE CITY, UT 84117-7169
(801) 277-1028
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12273912-8016
UT
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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