NPI 1770293029
Wyatt T Krajeski, LICENSEDACU
Practice location
- Address
- 1816 Prospector Ave STE 202, Park City, UT 84060-7510
- Phone
- (453) 655-1578
Registered specialties
Acupuncturist
Primary
Registry record
- NPI
- 1770293029
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Nov 2022
- Record last updated
- 28 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.