Individual
ELISE KATHLEEN WORDEKEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8TH AVENUE C ST E, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
572 E SHERMAN AVE, SALT LAKE CITY, UT 84105-2064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4192
NE
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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