| Mont Didericksen, PT | |
|
551 S 455 E, Smithfield, UT 84335-1355 | |
| (435) 757-4847 | |
| Not Available |
| Full Name | Mont Didericksen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 551 S 455 E, Smithfield, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063963825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mont Didericksen, PT 551 S 455 E, Smithfield, UT 84335-1355 Ph: (435) 757-4847 | Mont Didericksen, PT 551 S 455 E, Smithfield, UT 84335-1355 Ph: (435) 757-4847 |
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