Individual
MR. STEVEN GATHERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
5121 SOUTH COTTONWOOD STREET, SALT LAKE CITY, UT 84107
(801) 507-7000
Mailing address
5121 SOUTH COTTONWOOD STREET, SALT LAKE CITY, UT 84107
(801) 507-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106008-2401
UT
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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