Organization
PHYSICAL & SPORTS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G SUMSION PT (GENERAL PARTNER)
(801) 489-5669
Entity
Organization
Contact information
Practice address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783
Mailing address
380 E 400 S, SPRINGVILLE, UT 84663-1958
(801) 489-5669
(801) 489-5783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326149865
—
UT
01
—
378784100
USDOL OWCP
—
05
—
PR01090
—
UT
01
—
QM0000076371
ALTIUS HEALTH PLANS
UT
Enumeration date
09/26/2006
Last updated
06/21/2024
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