| Doctor Name: | MR. JOSHUA OWEN TILLEY |
| NPI Number: | 1285874123 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 7119397-2401 |
| Business Practice Address: | 3725 W 4100 S West Valley City, UT - 841205530 |
| Business Phone Number: | 8019653545 |
| Business Fax Number: | 8019653518 |
| Mailing Address: | Po Box 307, BOUNTIFUL |
| State: | UT |
| Postal Code: | 840110307 |
| Phone Number: | 8012946907 |
| Fax Number: | 8012946917 |
| NPI Enumeration Date: | 03/05/2009 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7119397-2401 |
| 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 |