Todd Karl Haacke, DPT

NPI #1154023513 in Provo, Utah

Provider Information

NPI Number: 1154023513
Entity Type: Individual
Name: Todd Karl Haacke, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Mar 20, 2023
Last Updated: Jun 7, 2023

Practice Location

Address: 1055 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 429-0610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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