Organization
DELTA PHYSICAL THERAPY AND SPORTS MEDICINE PC
Active
Other names
Fillmore Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD QUACKENBUSH D.P.T. (PRESIDENT)
(435) 864-2551
Entity
Organization
Contact information
Practice address
770 S HIGHWAY 99, SUITE A, FILLMORE, UT 84631
(435) 743-6100
(435) 743-6161
Mailing address
95 WHITE SAGE AVE STE C, DELTA, UT 84624-5555
(435) 864-2551
(435) 864-3573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/20/2007
Last updated
12/28/2018
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