Individual
NATOSHIA DIFFENDAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT-LANA
Contact information
Practice address
279 E 5900 S STE 200, MURRAY, UT 84107-5424
(801) 210-0127
(801) 992-6450
Mailing address
279 E 5900 S STE 200, MURRAY, UT 84107-5424
(801) 210-0127
(801) 992-6450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2364
OK
225200000X
Physical Therapy Assistant
Primary
2402
UT
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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