RUSSELL LIONEL CLARKE

WEST JORDAN, UT
NPI1396894267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  279763-2401)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
Mr. RUSSELL LIONEL CLARKE P.T., C.H.T.
1577 W 7000 S 100
WEST JORDAN, UT 84084-7492
Phone number: 801-566-6301
Mailing Address
Mr. RUSSELL LIONEL CLARKE P.T., C.H.T.
9720 S 1300 E W200
SANDY, UT 84094-3712
Phone number: 801-572-0690