Individual
MINDY DYAN CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 S 1500 E APT D127, CLEARFIELD, UT 84015-1416
(208) 249-1627
Mailing address
900 S 1500 E APT D127, CLEARFIELD, UT 84015-1416
(208) 249-1627
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7781200-2402
UT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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