Individual
DR. CHRISTY ROSE HEIDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5848 S 300 E, MURRAY, UT 84107-6157
(801) 314-4040
(801) 314-4043
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12872447-2401
UT
225100000X
Physical Therapist
PTP-PT-LIC-24333
MT
Other
Enumeration date
06/02/2022
Last updated
12/15/2023
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