KATHRYN MARIE ALFONSO

PROVO, UT
NPI1043744931
Former NameKATHRYN ALFONSO METTLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  14009205-1204)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: NC  2021-02218)
208100000X Physical Medicine & Rehabilitation
(Licence: MN  64047)
Enumeration Date2017-04-17
Last Update Date2026-03-06
Business Address
KATHRYN MARIE ALFONSO DO
1157 N 300 W STE 201
PROVO, UT 84604-6124
Phone number: 801-357-1200
Mailing Address
KATHRYN MARIE ALFONSO DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: