Individual
CODY WAYNE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2351
(435) 722-6186
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2351
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12304520-2401
UT
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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