Individual
DALLAS C OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
13 E CENTER, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000
Mailing address
PO BOX 396, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4910375-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558317743
SELECT HEALTH
UT
01
—
201776
ALTIUS
UT
01
—
49103752400001
BLUE CROSS
UT
01
—
49103752402001
WRHN/VALUECARE
UT
01
—
49103752403001
WRHN
UT
01
—
49103752410001
BCBS
UT
01
—
88748
PEHP
UT
Enumeration date
05/26/2006
Last updated
10/10/2007
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