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1114278397
TIMOTHY HAACKER
SALT LAKE CITY, UT
NPI
1114278397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8225227-2401)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
-- TIMOTHY HAACKER DPT
1138 E WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2000
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Mailing Address
-- TIMOTHY HAACKER DPT
2100 E BENGAL BLVD E302
COTTONWOOD HEIGHTS, UT 84121-7135
Phone number: 262-721-7095
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