Individual
BRYAN JOHANNES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
652 S MEDICAL CENTER DR, ST GEORGE, UT 84790-7049
(435) 251-2250
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13350792-2401
UT
Other
Enumeration date
05/10/2023
Last updated
11/09/2023
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