# ASHLEY CREEK PHYSICAL THERAPY, INC

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

## Provider details

- **NPI number:** 1447422019
- **Authorized official:** MR. JERRRY D KULLAND P.T. (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (435) 789-0022

## Contact information

- **Practice address:** 595 NORTH VERNAL AVE, VERNAL, UT 84078-4819
- **Practice address phone:** (435) 789-0022
- **Practice address fax:** (435) 789-2955
- **Mailing address:** 595 N VERNAL AVE, VERNAL, UT 84078-3701
- **Mailing address phone:** (435) 789-0022
- **Mailing address fax:** (435) 789-2955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 121905-2401 | UT | Yes |

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 06/05/2012