Individual
KADE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
267 N SPRING CREEK PKWY, PROVIDENCE, UT 84332-9775
(435) 792-9400
Mailing address
PO BOX 213, ALMO, ID 83312-0213
(435) 881-9327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12699079-2401
UT
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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