| Doctor Name: | JUSTIN DENIS LONGHURST |
| NPI Number: | 1255763439 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 8693573-8016 |
| Business Practice Address: | 4640 S 3500 W Suite 3 West Haven, UT - 844016521 |
| Business Phone Number: | 8016890200 |
| Business Fax Number: | 8016890201 |
| Mailing Address: | Po Box 66, HOOPER |
| State: | UT |
| Postal Code: | 843150066 |
| Phone Number: | 8016890200 |
| Fax Number: | 8016890201 |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8693573-8016 |
| 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 |