Individual
JONATHAN PATRICK SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 S HIGHWAY 165, PROVIDENCE, UT 84332-9512
(435) 755-3300
Mailing address
1007 E 450 N, HEBER CITY, UT 84032-3089
(435) 671-7854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13286986-2401
UT
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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