MICHAEL RICKY STAUFFER

IVINS, UT
NPI1205338324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: UT  424779-2402)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
MICHAEL RICKY STAUFFER
160 N 200 E
IVINS, UT 84738-6100
Phone number: 435-634-5220
Mailing Address
MICHAEL RICKY STAUFFER
206 N 2100 W
SALT LAKE CITY, UT 84116-4740
Phone number:
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