Individual
SHELLY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-3400
Mailing address
3741 W 12600 S, RIVERTON, UT 84065-7215
(801) 285-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4733309-2401
UT
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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