Organization
PAYSON SPORTS & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN G ADAMS (P.T.)
(801) 465-2672
Entity
Organization
Contact information
Practice address
871 SOUTH 500 WEST, PAYSON, UT 84651
(801) 465-2672
Mailing address
871 SOUTH 500 WEST, PAYSON, UT 84651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PRA04380
—
UT
Enumeration date
09/13/2013
Last updated
08/31/2021
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