Individual
KAYLEE ELIZABETH DOMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1760 S 1100 E STE 3, SALT LAKE CITY, UT 84105-3492
(385) 226-5481
Mailing address
1671 E OLIVE DR, MILLCREEK, UT 84124-2570
(801) 652-2741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11303126-2401
UT
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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