Wiese, Korryn
Wiese, Korryn is an individual health care provider with primary practice located at 5856 Harrison Blvd Suite A, South Ogden UT 84403-4397. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wiese, Korryn can be contacted via phone (801) 475-6415.Contact Information
Primary practice address
5856 Harrison Blvd Suite A
South Ogden UT 84403-4397
Phone: (801) 475-6415
Fax: (801) 475-6417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 117905-2401 | Utah |
Profile Details
| NPI number | 1528036878 |
|---|---|
| LBN Legal business name | Wiese, Korryn |
| Credentials | P.T., C.M.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Aug 19th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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