Doctor Name: | STEPHEN SOUVALL |
NPI Number: | 1003283607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT60567578 |
Business Practice Address: | 5734 W 13400 S #300 Herriman, UT - 840966953 |
Business Phone Number: | 8013027232 |
Business Fax Number: | |
Mailing Address: | 5734 W 13400 S, #300 HERRIMAN |
State: | UT |
Postal Code: | 840966953 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/31/2015 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT60567578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |