Organization
SANPETE VALLEY PHYSICAL THERAPY LLC
Active
Other names
BRENT M RASMUSSEN
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT M RASMUSSEN P.T. (OWNER)
(435) 283-5662
Entity
Organization
Contact information
Practice address
112 N MAIN ST, EPHRAIM, UT 84627-1104
(435) 283-5662
(435) 283-5666
Mailing address
112 N MAIN ST, EPHRAIM, UT 84627-1104
(435) 283-5662
(435) 283-5666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4931765-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023166386
—
UT
01
—
107043750101
INTERMOUNTAIN HEALTHCARE
UT
01
—
93822
PUBLIC EMPLOYEES HEALTH P
UT
Enumeration date
08/08/2007
Last updated
08/08/2007
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