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Organization
SUNDANCE CIRCLE HIPPOTHERAPY LLC
Active
Organization
SUNDANCE CIRCLE HIPPOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W PAYNE DPT (PHYSICAL THERAPIST/OWNER)
(435) 999-0912
Entity
Organization
Contact information
Practice address
16520 92ND ST E, SUMNER, WA 98390-8155
(435) 999-0912
Mailing address
1392 W 6500 S, HYRUM, UT 84319-7105
(435) 999-0912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/19/2021
Last updated
03/16/2022
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