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Larry Wiseman, A.T.,C
NPI 1821018052 · on the registry since 2006
Practice
- Address
- 1738 W 12600 S
Riverton, UT 84065 - Phone
- (801) 243-7346
- Fax
- (801) 446-0909
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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