Individual
SPENCER VICKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1227 W 9000 S STE F, WEST JORDAN, UT 84088-9010
(801) 282-2200
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12294720-2401
UT
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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