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Individual

MICHAEL AMEYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-3600
Mailing address
673 N 400 W APT 3, KAYSVILLE, UT 84037-1192
(586) 604-0059

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12619503-2401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12619503-2401
PT LICENSE
UT
Enumeration date
01/19/2022
Last updated
01/19/2022
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