Individual
BRANDON STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
355 NORTH MAIN, KANAB, UT 84741
(435) 644-4199
(435) 644-8562
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62515042401
UT
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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