Shayla Moulton, PTA

NPI #1417309063 in Orem, Utah

Provider Information

NPI Number: 1417309063
Entity Type: Individual
Name: Shayla Moulton, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 7, 2016
Last Updated: Jul 7, 2016

Practice Location

Address: 527 W 400 N STE 6
City: Orem
State: Utah
ZIP Code: 84057-1951
Phone: (775) 217-1553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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