Derek Ivan Thueson, PT

NPI #1356663926 in Provo, Utah

Provider Information

NPI Number: 1356663926
Entity Type: Individual
Name: Derek Ivan Thueson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 23, 2010
Last Updated: Feb 23, 2010

Practice Location

Address: 1034 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3380
Phone: (801) 357-2299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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