Organization
HOUSE CALL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE JOY THORSON (PRESIDENT)
(435) 757-6220
Entity
Organization
Contact information
Practice address
140 N MAIN ST, BOX 123, SMITHFIELD, UT 84335-1908
(435) 757-6220
Mailing address
PO BOX 123, SMITHFIELD, UT 84335-0123
(435) 757-6220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1221372401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646515
COVENTRY
UT
01
—
335326
ALTIUS
UT
01
—
342464
DMBA
UT
05
—
476641181033
—
UT
01
—
47664118104001
BLUE CROSS BLUE SHIELD
UT
01
—
59796P33G33
PEHP
UT
Enumeration date
05/27/2006
Last updated
11/26/2010
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