Doctor Name: | MR. RHODRI L PURCELL |
NPI Number: | 1417916784 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MPT, OCS, CSCS |
License Number: | 6186256-2401 |
Business Practice Address: | 112 N Main St Ephraim, UT - 846271104 |
Business Phone Number: | 4352835662 |
Business Fax Number: | |
Mailing Address: | 167 N 300 E, MT PLEASANT |
State: | UT |
Postal Code: | 84647 |
Phone Number: | 4354620195 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 05/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 6186256-2401 |
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: |