Individual
DR. CRYSTAL AMBER HAAKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
(801) 536-3614
Mailing address
1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103-4324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
09/02/2021
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