Individual
DR. TYSON KENTON BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1490 E FOREMASTER DR STE 110, ST GEORGE, UT 84790-4492
(435) 288-2242
Mailing address
410 SUGAR LEO RD, SAINT GEORGE, UT 84790-7947
(801) 603-6751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13744522-2401
UT
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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