| Doctor Name: | MR. RICHARD EVAN PENROD |
| NPI Number: | 1952551939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., P.T. |
| License Number: | PT-2169 |
| Business Practice Address: | 460 W 600 N Tremonton, UT - 843372400 |
| Business Phone Number: | 4352574400 |
| Business Fax Number: | |
| Mailing Address: | 460 W 600 N, TREMONTON |
| State: | UT |
| Postal Code: | 843372400 |
| Phone Number: | 4352574400 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2008 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT-2169 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| 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 |