Organization
FST PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON FERNSTROM PT, DPT (PHYSICAL THERAPIST/OWNER)
(801) 459-7545
Entity
Organization
Contact information
Practice address
4095 E PONY EXPRESS PWKY, STE 6, EAGLE MOUNTAIN, UT 84005
(801) 459-7545
Mailing address
4095 E PONY EXPRESS PWKY, STE 6, EAGLE MOUNTAIN, UT 84005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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