Individual
NED B BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1067 N 500 W BLDG B, PROVO, UT 84604-3305
(801) 370-9981
(801) 370-9984
Mailing address
1067 N 500 W BLDG B, PROVO, UT 84604-3305
(801) 370-9981
(801) 370-9984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115470-2401
UT
Other
Enumeration date
08/22/2005
Last updated
07/26/2010
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