Individual
TODD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
642 N 1000 W STE 107, LOGAN, UT 84321-3140
(435) 753-1556
Mailing address
642 N 1000 W STE 107, LOGAN, UT 84321-3140
(435) 753-1556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63323172401
UT
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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