KRISTIANN HENRICKSEN

PRICE, UT
NPI1285142018
Former NameKRISTIANN GRANGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  10630232-8016)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
KRISTIANN HENRICKSEN DPT
284 N HOSPITAL DR
PRICE, UT 84501-4233
Phone number: 435-636-4841
Mailing Address
KRISTIANN HENRICKSEN DPT
284 N HOSPITAL DR
PRICE, UT 84501-4233
Phone number:
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