Individual
MR. CURTIS ALLAN IVINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 FOOTHILL DR, PHYSICAL THERAPY (117PT), SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2069 W 5350 S, TAYLORSVILLE, UT 84118-1337
(801) 963-1582
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293335-2401
UT
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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