Organization
ASHLEY CREEK PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRRY D KULLAND P.T. (OWNER/PHYSICAL THERAPIST)
(435) 789-0022
Entity
Organization
Contact information
Practice address
595 NORTH VERNAL AVE, VERNAL, UT 84078-4819
(435) 789-0022
(435) 789-2955
Mailing address
595 N VERNAL AVE, VERNAL, UT 84078-3701
(435) 789-0022
(435) 789-2955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121905-2401
UT
Other
Enumeration date
03/24/2008
Last updated
06/05/2012
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