Krace Conner Maw
Krace Conner Maw is a Physical Therapist in South Ogden, Utah. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
5856 Harrison Blvd Ste ASouth Ogden, UT 84403-2117
Phone: (801) 475-6415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT-5653 (ID) |
|---|
Record details
| NPI number | 1124510235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2018 |
| Last updated in NPPES | June 4, 2018 |
| Mailing address | 5856 Harrison Blvd Ste A, South Ogden, UT 84403-2117 |
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