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Doctors / UT
PHYSICAL THERAPIST IN PRIVATE PRACTICE
Graduated: 2019
NPI: 1003474602
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200 E, 250 SACRED CIR HLTHCARE
SALT LAKE CITY, UT 841113846
8013952256
Source: CMS National Downloadable File, September 2026.