Individual
AMY LYNNE LEISETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5770 FASHION BLVD, MURRAY, UT 84107-6548
(801) 314-2094
Mailing address
12977 BROOK HAVEN CV, DRAPER, UT 84020-8968
(801) 571-1088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4870576-2401
UT
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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