Organization
CENTRAL UTAH PHYSICAL THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L THALMAN P.T. (OWNER)
(435) 896-6653
Entity
Organization
Contact information
Practice address
20 W 925 N, RICHFIELD, UT 84701-5500
(435) 896-6653
(435) 896-6662
Mailing address
20 W 925 N, RICHFIELD, UT 84701-5500
(435) 896-6653
(435) 896-6662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6234806-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000055197
MEDICARE PTAN
UT
Enumeration date
03/05/2007
Last updated
02/15/2012
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