Individual
EVAN APPLEGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
450 E CLINIC WAY STE B, PAROWAN, UT 84761
(435) 559-2613
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
104184452401
UT
Other
Enumeration date
08/03/2015
Last updated
02/28/2023
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