Individual
AUSTIN GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
280 RIVER PARK DR STE 310, PROVO, UT 84604-5764
(385) 401-5010
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PENDING
UT
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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