DAKOTA WENDEL HEATON

PROVO, UT
NPI1255167128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  14124870-2401)
Enumeration Date2024-09-09
Last Update Date2024-11-27
Business Address
DAKOTA WENDEL HEATON DPT
1157 N 300 W STE 211
PROVO, UT 84604-6124
Phone number: 801-357-1250
Mailing Address
DAKOTA WENDEL HEATON DPT
PO BOX 25537
SALT LAKE CITY, UT 84125-0537
Phone number:
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