Individual
KEEGAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
684 S 1600 W, MAPLETON, UT 84664-4486
(801) 436-3119
Mailing address
684 S 1600 W, MAPLETON, UT 84664-4486
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13392192-2401
UT
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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