Individual
SUSANNE MARIE ACKROYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
451 BISHOP FEDERAL LANE, ST JOSEPHS VILLA, SALT LAKE CITY, UT 84115
(801) 487-7557
(801) 468-6843
Mailing address
996 OLYMPUS PARK DRIVE, D203, SALT LAKE CITY, UT 84117
(801) 815-4920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
50367062401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6333
—
UT
Enumeration date
11/02/2006
Last updated
07/08/2007
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