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Organization
PREVENT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization
PREVENT PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON CRAVEN DPT, OCS (PHYSICAL THERAPIST)
(801) 690-8119
Entity
Organization
Contact information
Practice address
2001 W 2550 S, WEST HAVEN, UT 84401-1109
(801) 332-9774
Mailing address
3090 S 4300 W, OGDEN, UT 84401-9032
(801) 690-8119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/05/2024
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