Individual
SHELBY TSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5131 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-3888
Mailing address
925 S 150 E, OREM, UT 84058-7013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7354317-2402
UT
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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