Individual
MATTHEW ROBERT KRESGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(801) 874-5973
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(801) 874-5973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12608953-2401
UT
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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