COLLIN KENNETH SHEPHERD

SALT LAKE CITY, UT
NPI1205169091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  7447176-2401)
Enumeration Date2009-09-10
Last Update Date2021-11-08
Business Address
COLLIN KENNETH SHEPHERD DPT
50 N MEDICAL DR 2R110A SOM
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-0297
Mailing Address
COLLIN KENNETH SHEPHERD DPT
937 E 6795 S
MIDVALE, UT 84047-5038
Phone number: 618-444-1498
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