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Mont Didericksen, PT

NPI 1063963825 · on the registry since 2016

Practice

Address
551 S 455 E
Smithfield, UT 84335
Phone
(435) 757-4847

Registry record

Primary taxonomy
225100000X
225100000X
Sex
Male
Record last updated
2016-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah