RUSSELL JACK GATENBY

AMERICAN FORK, UT
NPI1134241904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  119421-2401)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- RUSSELL JACK GATENBY PT
1184 E 80 N
AMERICAN FORK, UT 84003-2906
Phone number: 801-756-7777
Mailing Address
-- RUSSELL JACK GATENBY PT
222 N 1020 E
AMERICAN FORK, UT 84003-2957
Phone number:
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