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1164863882
TYLER ELLIS
SALT LAKE CITY, UT
NPI
1164863882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 8706957-8016)
Enumeration Date
2013-07-10
Last Update Date
2013-07-10
Business Address
-- TYLER ELLIS
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
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Mailing Address
-- TYLER ELLIS
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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