# MARLIN M FORSYTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bountiful Physical Therapy-Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366653230
- **Authorized official:** MR. MARLIN M FORSYTH P.T. (OWNER)
- **Authorized official phone:** (801) 292-5011

## Contact information

- **Practice address:** 425 MEDICAL DR, SUITE 104, BOUNTIFUL, UT 84010-4945
- **Practice address phone:** (801) 292-5011
- **Practice address fax:** (801) 292-8222
- **Mailing address:** 425 MEDICAL DR, SUITE 104, BOUNTIFUL, UT 84010-4945
- **Mailing address phone:** (801) 292-5011
- **Mailing address fax:** (801) 292-8222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | UT | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 06/13/2008