Organization Name: | BEAR LAKE PHYSICAL AND SPORTS THERAPY PC |
NPI Number: | 1609085885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTHANN M JARMAN (DIRECTOR) |
Mailing Address: | 35 South Main Randolph |
State: | UT US |
Postal Code: | 84064 |
Phone Number: | 4357937000 |
Fax Number: | 4359469777 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 11/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 351974-2401 |
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 |