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Search › Utah › 225100000X

Krace Maw

NPI 1124510235 · on the registry since 2018

Practice

Address
5856 Harrison Blvd Ste A
South Ogden, UT 84403
Phone
(801) 475-6415
Organisation at this address
South Ogden Smiles, Pc
Body Tune Physical Therapy Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-04

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