Individual
DR. COLLIN K BYWATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1291 S 1100 E STE 202, SALT LAKE CITY, UT 84105-1826
(801) 712-4996
Mailing address
1291 S 1100 E STE 202, SALT LAKE CITY, UT 84105-1826
(801) 712-4996
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
367748-2401
UT
Other
Enumeration date
07/10/2009
Last updated
02/15/2020
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