| Organization Name: | ASHLEY CREEK PHYSICAL THERAPY, INC |
| NPI Number: | 1447422019 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRRY D KULLAND (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 595 North Vernal Ave Vernal |
| State: | UT US |
| Postal Code: | 840784819 |
| Phone Number: | 4357890022 |
| Fax Number: | 4357892955 |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 06/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 121905-2401 |
| 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 |