Organization
GATEWAY PHYSICAL THERAPY AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN CHASE (PHYSICAL THERAPIST)
(435) 799-3111
Entity
Organization
Contact information
Practice address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9707
(435) 799-3111
Mailing address
169 N GATEWAY DR STE 160, PROVIDENCE, UT 84332-9882
(435) 799-3111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
06/09/2022
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