Heidi Olsen Tidwell, PT
Physical Therapist, Orthopedic in Bountiful, UT. Individual provider (NPI-1).
NPI number1669934378
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1669934378
- Entity type
- Individual (NPI-1)
- Name
- Heidi Olsen Tidwell
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 269056-2401 | UT | Yes |
Practice location
1551 Renaissance Towne Dr Ste 420Bountiful, UT 84010-7677
Phone 801-295-8999
Mailing address
1551 Renaissance Towne Dr Ste 420Bountiful, UT 84010-7677
Phone 801-295-8999
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