Doctor Name: | DR. MICHAEL JOSEPH TERRY |
NPI Number: | 1225475668 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T |
License Number: | 8570958-2401 |
Business Practice Address: | 590 E 100 N Ste 1 Price, UT - 845012600 |
Business Phone Number: | 4356131500 |
Business Fax Number: | 4356131501 |
Mailing Address: | 590 E 100 N Ste 1, PRICE |
State: | UT |
Postal Code: | 845012600 |
Phone Number: | 4356131500 |
Fax Number: | 4356131501 |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8570958-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |