# SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447309182
- **Authorized official:** MR. RANDY J FORSYTH P.T (OWNER)
- **Authorized official phone:** (435) 865-1902

## Contact information

- **Practice address:** 1335 NORTHFIELD RD, SUITE 300, CEDAR CITY, UT 84720-9390
- **Practice address phone:** (435) 865-1902
- **Practice address fax:** (435) 586-5176
- **Mailing address:** 1335 NORTHFIELD RD, SUITE 300, CEDAR CITY, UT 84720-9390
- **Mailing address phone:** (435) 865-1902
- **Mailing address fax:** (435) 586-5176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 132676 | UT | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 12/11/2007