Individual
SCOTT DANIEL SIDDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
35766
NY
225100000X
Physical Therapist
70.027999
IL
225100000X
Physical Therapist
Primary
P16449
NC
225100000X
Physical Therapist
PT031924
PA
225100000X
Physical Therapist
PT210002185
DC
Other
Enumeration date
09/13/2012
Last updated
08/05/2024
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