KRACE MAW

Physical Therapist

Active Individual
NPI: 1124510235

Practice Address

5856 HARRISON BLVD STE A
South Ogden, UT 84403

Phone: (801) 475-6415

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT-5653 (ID)

Frequently Asked Questions

NPI 1124510235 is the National Provider Identifier for KRACE MAW, a Physical Therapist provider located in South Ogden, UT. This NPI was enumerated on June 4, 2018.
KRACE MAW practices at 5856 HARRISON BLVD STE A, South Ogden, UT 84403.

Quick Facts

NPI
1124510235
Type
Individual
Enumerated
Jun 4, 2018
Last Updated
Jun 4, 2018

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