| Doctor Name: | MR. THOMAS GURRISTER |
| NPI Number: | 1073533295 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS CCC |
| License Number: | 110090-4102 |
| Business Practice Address: | 2120 E 3900 S #100 Salt Lake City, UT - 841241771 |
| Business Phone Number: | 8013080400 |
| Business Fax Number: | 8013080401 |
| Mailing Address: | Po Box 307, BOUNTIFUL |
| State: | UT |
| Postal Code: | 840110307 |
| Phone Number: | 8887006907 |
| Fax Number: | 8012946917 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 110090-4102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |