Individual
KENDALL ELSBETH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(404) 606-0316
Mailing address
123 W LOUISE AVE APT 190, SOUTH SALT LAKE, UT 84115-1258
(404) 606-0316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12868159-2401
UT
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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