# BEAR LAKE PHYSICAL AND SPORTS THERAPY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bear Lake Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669568481
- **Authorized official:** RUTHANN JARMAN (DIRECTOR)
- **Authorized official phone:** (833) 946-2777

## Contact information

- **Practice address:** 95 WEST 50 SOUTH, GARDEN CITY, UT 84028-0276
- **Practice address phone:** (435) 946-2777
- **Practice address fax:** (435) 946-9777
- **Mailing address:** PO BOX 276, GARDEN CITY, UT 84028-0276
- **Mailing address phone:** (435) 946-2777
- **Mailing address fax:** (435) 946-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3519742401 | UT | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529198060001 | — | UT |
| 05 | — | 805197000 | — | ID |