Organization
SOUTHERN UTAH PHYSICAL THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIL TYLER BRINKERHOFF MSPT (PART OWNER)
(435) 867-8024
Entity
Organization
Contact information
Practice address
990 S BENTLEY BLVD, CEDAR CITY, UT 84720-1887
(435) 867-8024
(435) 867-8034
Mailing address
990 S BENTLEY BLVD, CEDAR CITY, UT 84720-1887
(435) 867-8024
(435) 867-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528193197041
—
UT
Enumeration date
11/18/2009
Last updated
11/18/2009
Update your record
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