Individual
ALEXANDER MARK RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2532 S 5600 W, WEST VALLEY CITY, UT 84120-1247
(801) 415-6882
Mailing address
1775 E GROVER LN, HOLLADAY, UT 84124-2612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11349719-2402
UT
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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