ELISE SHANTHANI VADIVELOO

HERRIMAN, UT
NPI1215891221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  14212533-2401)
Enumeration Date2025-12-13
Last Update Date2025-12-13
Business Address
ELISE SHANTHANI VADIVELOO
14787 S ACADEMY PKWY
HERRIMAN, UT 84096-2077
Phone number: 385-434-3118
Mailing Address
ELISE SHANTHANI VADIVELOO
152 E MIDVILLAGE BLVD APT 209
SANDY, UT 84070-1375
Phone number: 385-464-7942