Individual
LIBBY REESE DEGRENDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NORTH MEDICAL DR., SALT LAKE CITY, UT 84132
(801) 581-2733
Mailing address
1907 N 80 E, LAYTON, UT 84041-2939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5294516-2401
UT
Other
Enumeration date
01/09/2007
Last updated
01/03/2022
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