Krista Jane Brock, DPT

NPI #1942843529 in Riverton, Utah

Provider Information

NPI Number: 1942843529
Entity Type: Individual
Name: Krista Jane Brock, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Oct 25, 2019
Last Updated: Oct 25, 2019

Practice Location

Address: 3419 W 12600 S
City: Riverton
State: Utah
ZIP Code: 84065-7265
Phone: (801) 693-3941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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