Individual
ELEISHA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
238 N 700 E # 1, SPRINGVILLE, UT 84663-1531
(425) 223-1005
Mailing address
238 N 700 E # 1, SPRINGVILLE, UT 84663-1531
(425) 223-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9248785-2401
UT
Other
Enumeration date
05/05/2015
Last updated
12/06/2021
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