Individual
MR. WYATT D BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
660 E MAIN ST BLDG B, ENTERPRISE, UT 84725-0549
(435) 878-2722
(435) 878-2723
Mailing address
PO BOX 549, ENTERPRISE, UT 84725-0549
(435) 878-2722
(435) 878-2723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0652
NV
225100000X
Physical Therapist
Primary
3082713-2401
UT
Other
Enumeration date
01/19/2007
Last updated
01/23/2020
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