Organization Name: | BEAR LAKE PHYSICAL AND SPORTS THERAPY PC |
NPI Number: | 1669568481 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTHANN JARMAN (DIRECTOR) |
Mailing Address: | 95 West 50 South Garden City |
State: | UT US |
Postal Code: | 840280276 |
Phone Number: | 4359462777 |
Fax Number: | 4359469777 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 11/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3519742401 |
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 |