Individual
MRS. HEIDI CHRISTINE ASBURY-WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1794 OLYMPIC PARKWAY, SUITE 140, PARK CITY, UT 84068
(435) 575-0345
(435) 575-0346
Mailing address
1794 OLYMPIC PARKWAY, SUITE 140, PARK CITY, UT 84068
(435) 575-0345
(435) 575-0346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8223781-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8223781-2401
UTAH LICENSE
UT
01
—
PT27508
LICENSE NUMBER
CA
Enumeration date
06/15/2006
Last updated
07/27/2012
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