Individual
SUZANNE THORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
140 N MAIN ST, BOX 123, SMITHFIELD, UT 84335-1908
(435) 757-6220
Mailing address
PO BOX 123, SMITHFIELD, UT 84335-0123
(435) 757-6220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
122137-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194901900
EDUCATORS
UT
01
—
335326
ALTIUS
UT
01
—
59796
PEHP
UT
01
—
627706
DMBA
UT
01
—
71086946184335A002
TRIWEST
UT
Enumeration date
01/11/2008
Last updated
11/26/2010
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