Individual
MITCH LILLYWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4640 S 3500 W, WEST HAVEN, UT 84401-6521
(801) 689-0200
Mailing address
4640 S 3500 W, WEST HAVEN, UT 84401-6521
(801) 689-0200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9739106-2401
UT
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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