Organization
ELITE REHAB PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LEIGH STILSON DPT (PHYSICAL THERAPIST-OWNER)
(435) 781-1502
Entity
Organization
Contact information
Practice address
425 S VERNAL AVE, VERNAL, UT 84078-3237
(435) 781-1502
(435) 781-1505
Mailing address
425 S VERNAL AVE, VERNAL, UT 84078-3237
(435) 781-1502
(435) 781-1505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
72980272401
UT
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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