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Organization
GRANTSVILLE PHYSICAL THERAPY PLLC
Active
Organization
GRANTSVILLE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBERT ELMER PT (PHYSICAL THERAPIST/OWNER)
(435) 884-0324
Entity
Organization
Contact information
Practice address
822 E MAIN ST, GRANTSVILLE, UT 84029-2500
(435) 882-1263
(435) 884-0930
Mailing address
822 E MAIN ST STE 16, GRANTSVILLE, UT 84029-2501
(435) 884-0324
(435) 884-0930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117575-2401
UT
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
07/17/2006
Last updated
02/09/2024
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