# GRANTSVILLE PHYSICAL THERAPY PLLC

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

## Provider details

- **NPI number:** 1487672580
- **Authorized official:** JOHN ROBERT ELMER PT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (435) 884-0324

## Contact information

- **Practice address:** 822 E MAIN ST, GRANTSVILLE, UT 84029-2500
- **Practice address phone:** (435) 882-1263
- **Practice address fax:** (435) 884-0930
- **Mailing address:** 822 E MAIN ST STE 16, GRANTSVILLE, UT 84029-2501
- **Mailing address phone:** (435) 884-0324
- **Mailing address fax:** (435) 884-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 117575-2401 | UT | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 02/09/2024