| Organization Name: | SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C. |
| NPI Number: | 1164571758 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY J FORSYTH (OWNER) |
| Mailing Address: | 166 W 1325 N Suite 100 Cedar City |
| State: | UT US |
| Postal Code: | 847207792 |
| Phone Number: | 4355860064 |
| Fax Number: | 4358671243 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 12/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 132675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| 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 |