Individual
AMY BROEKEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
Mailing address
1515 S 1100 E, SALT LAKE CITY, UT 84105-2424
(801) 583-5692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
327686-2401
UT
Other
Enumeration date
04/10/2009
Last updated
07/20/2012
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